STEPHAN B SIMONS MD
NPI 1710928304
Internal Medicine in Bronx, NY

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
1211 WHITE PLAINS RD, BRONX, NY 10472(718) 828-6610(718) 829-9132 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephan B Simons Md NPPES

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

STEPHAN B SIMONS MD (NPI 1710928304) is an individual internal medicine provider in Bronx, New York, licensed in New York (118268) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1972).

NPPES Registry Identity

NPI1710928304
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHAN B SIMONSCredential: MD
Location Address1211 WHITE PLAINS RDBronx, NY 10472-4900
Mailing Address1211 White Plains RdBronx, NY 10472-4900 · (718) 828-6610 · Fax (718) 829-9132
Fax(718) 829-9132
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1972
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 5, 2011
NPI 1710928304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 118268
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1211 WHITE PLAINS RD, Bronx, NY 10472

Other Identifiers 3

Medicare UPINC08011NY
Medicare ID-Type Unspecified299071NY
Medicaid01423972NY

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

Stephan B Simons Md 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 ID4385658590
PECOS Enrollment IDI20060126000660
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services23 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.
22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10472 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%102 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%93 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$2.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier16 claims16 services$184.40 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 8

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

Podiatrist
1211 WHITE PLAINS RD
BRONX, NY 10472
Pharmacist
1211 WHITE PLAINS RD
BRONX, NY 10472
Internal Medicine
1211 WHITE PLAINS RD
BRONX, NY 10472
Internal Medicine
1211 WHITE PLAINS RD, BRONX
BRONX, NY 10472
Pediatrics
1211 WHITE PLAINS RD
BRONX, NY 10472
Nurse Practitioner (Gerontology)
1211 WHITE PLAINS RD
BRONX, NY 10472
Advanced Practice Midwife
1211 WHITE PLAINS RD
BRONX, NY 10472
Nurse Practitioner (Family)
1211 WHITE PLAINS RD
BRONX, NY 10472

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 Stephan Simons's NPI number?

The NPI number for Stephan Simons is 1710928304. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Stephan Simons located?

Stephan Simons practices at 1211 White Plains Rd, Bronx, NY 10472. The listed phone number is (718) 828-6610.

What is Stephan Simons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephan Simons enrolled in Medicare?

Yes. Stephan Simons 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 Stephan Simons was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.