DR. SIMON KHAGI M.D.
NPI 1710121165
Internal Medicine - Hematology & Oncology in Newport Beach, CA

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
1 HOAG DR BLDG 41, NEWPORT BEACH, CA 92663(949) 764-4060(949) 764-4061 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Simon Khagi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON KHAGI M.D. (NPI 1710121165) is an individual hematology & oncology provider in Newport Beach, California, licensed in California (187017) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710121165
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SIMON KHAGICredential: M.D.
Location Address1 HOAG DR BLDG 41Newport Beach, CA 92663-4162
Mailing Address87 Mcgregor StreetManchester, NH 03102 · (603) 695-2500
Fax(949) 764-4061
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2009
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1710121165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in CA · 187017 Licensed in NH · 15414
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1 HOAG DR BLDG 41, Newport Beach, CA 92663

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Simon Khagi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557688181
PECOS Enrollment IDI20230817001479
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
425 services60 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
169 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost57.36

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$20.78 avg. paid by Medicare
Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier14 claims14 services$11,123.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$115.37 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers25 claims6,726 services$0.32 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers20 claims20 services$18.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Radiology (Radiation Oncology)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Internal Medicine (Hospice and Palliative Medicine)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Internal Medicine (Medical Oncology)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Nurse Practitioner (Acute Care)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Nurse Practitioner (Family)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Surgery (Surgical Oncology)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663
Radiology (Radiation Oncology)
1 HOAG DR BLDG 41
NEWPORT BEACH, CA 92663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Khagi's NPI number?

The NPI number for Simon Khagi is 1710121165. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Simon Khagi located?

Simon Khagi practices at 1 Hoag Dr Bldg 41, Newport Beach, CA 92663. The listed phone number is (949) 764-4060.

What is Simon Khagi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Simon Khagi enrolled in Medicare?

Yes. Simon Khagi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Simon Khagi was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.