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FRANK SIMO M.D.
NPI 1730170507
Otolaryngology - Facial Plastic Surgery in Saint Louis, MO

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
555 N NEW BALLAS RD STE 260, SAINT LOUIS, MO 63141(314) 977-6362 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frank Simo M.d. NPPES

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

FRANK SIMO M.D. (NPI 1730170507) is an individual facial plastic surgery provider in Saint Louis, Missouri, licensed in Missouri (R5G78) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Florida College Of Medicine (1984).

NPPES Registry Identity

NPI1730170507
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameFRANK SIMOCredential: M.D.
Location Address555 N NEW BALLAS RD STE 260Saint Louis, MO 63141-6886
Mailing Address1008 S Spring Ave # 3300Saint Louis, MO 63110-2520 · (314) 977-8884
Phone(314) 977-6362
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1984
Enumeration DateNovember 2, 2005
Last NPPES UpdateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1730170507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MO · R5G78
Definition
An otolaryngologist who specializes in facial plastic surgery.
555 N NEW BALLAS RD STE 260, Saint Louis, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Frank Simo 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 ID1850340514
PECOS Enrollment IDI20071213000789
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 3

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.
24 services22 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
12 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 2

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

AMY FAY ESTILL MA CCA
Audiologist-Hearing Aid Fitter
555 N NEW BALLAS RD STE 260
SAINT LOUIS, MO 63141
St. Louis County (314) 977-6362
JULIA STELMACH
Audiologist
555 N NEW BALLAS RD STE 260
SAINT LOUIS, MO 63141
St. Louis County (149) 776-3623

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 Frank Simo's NPI number?

The NPI number for Frank Simo is 1730170507. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Frank Simo located?

Frank Simo practices at 555 N New Ballas Rd Ste 260, Saint Louis, MO 63141. The listed phone number is (314) 977-6362.

What is Frank Simo's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Frank Simo enrolled in Medicare?

Yes. Frank Simo 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.

What insurance does Frank Simo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Frank Simo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Frank Simo affiliated with any hospitals?

According to CMS data, Frank Simo is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Frank Simo was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.