DR. EDMUND LLOYD SIMON M.D.
NPI 1730366865
Radiology - Radiation Oncology in Cumming, GA

Q: What is Edmund Simon's NPI number?

The NPI number for Edmund Simon is 1730366865. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Q: What is Edmund Simon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Edmund Simon was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2008PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

1100 NORTHSIDE FORSYTH DR, STE 140, CUMMING, GA 30041(770) 292-7000(770) 292-7002 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2021, Feb 2, 2017 (2 updates tracked since 2017).

On this page

About Dr. Edmund Lloyd Simon M.d. NPPES

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

DR. EDMUND LLOYD SIMON M.D. (NPI 1730366865) is an individual radiation oncology provider in Cumming, Georgia, licensed in Georgia (54670) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Ohio (2002).

NPPES Registry Identity

NPI1730366865

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. EDMUND LLOYD SIMONCredential: M.D.

Location Address1100 NORTHSIDE FORSYTH DR, STE 140Cumming, GA 30041-6012

Mailing Address1100 Northside Forsyth Dr, Ste 140Cumming, GA 30041-6012 · (770) 292-7000 · Fax (770) 292-7002

Phone(770) 292-7000

Fax(770) 292-7002

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2002

Enumeration DateJanuary 31, 2008

Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1730366865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in GA · 54670

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041

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Other Identifiers 1

Medicaid468024628MGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Edmund Lloyd Simon 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 ID8921173196

PECOS Enrollment IDI20100817000655

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 21

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

938 services85 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

419 services97 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

310 services103 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

243 services76 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

117 services24 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

102 services92 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.

79 services79 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

74 services60 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

64 services58 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.

61 services44 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

46 services41 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

42 services38 patients

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment G6017

In radiation therapy, intra-fraction localization and tracking monitor patient or target movement during treatment. This ensures that radiation is accurately delivered to the correct area. Techniques like 3D positional tracking, gating, and 3D surface tracking are used to enhance precision.

38 services11 patients

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.

30 services28 patients

Management of complete single session course of cranial lesion surgery using radiation 77432

This procedure involves using radiation to treat a cranial lesion in one session. A precise dose of radiation targets the lesion, destroying abnormal cells while sparing healthy tissue. It's a non-invasive method, meaning no surgical incision is needed.

27 services23 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

26 services25 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

24 services24 patients

Removal of stabilizing device from head originally applied by other provider 20665

This procedure involves the careful removal of a device that has been placed on your head by another provider to ensure stability. This could be due to various medical reasons. The process is handled by trained professionals to ensure safety and comfort.

15 services15 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

14 services14 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.

14 services14 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

Other Providers at the Same Location NPPES 20

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

DR. IRFAN ANSARI M.D.

Orthopaedic Surgery

1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041

Forsyth County (770) 886-8111

MARIANN SIMPSON P.A.

Physician Assistant

1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041

Forsyth County (678) 947-6440

STEVEN P HORNE P.A.

Physician Assistant

1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041

Forsyth County (678) 947-6440

ADRIAN L NOBLE AT-C

Specialist/Technologist (Athletic Trainer)

1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041

Forsyth County (678) 341-6790

MR. SCOTT E ANDERSON PA-C

Physician Assistant

1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041

Forsyth County (770) 886-8111

MRS. BARBARA SHARP MCLEAR FNP

Nurse Practitioner (Family)

1100 NORTHSIDE FORSYTH DR, SUITE 450
CUMMING, GA 30041

Forsyth County (770) 886-0036

DR. MICHAEL ALAN TOLSON M.D.

Specialist

1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041

Forsyth County (700) 888-2999

MRS. HEATHER PETERS CPNP

Registered Nurse (Pediatrics)

1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041

Forsyth County (770) 888-8888

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 Edmund Simon's NPI number?

The NPI number for Edmund Simon is 1730366865. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Edmund Simon located?

Edmund Simon practices at 1100 Northside Forsyth Dr Ste 140, Cumming, GA 30041. The listed phone number is (770) 292-7000.

What is Edmund Simon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Edmund Simon enrolled in Medicare?

Yes. Edmund Simon 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 Edmund Simon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Edmund Simon 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 Edmund Simon affiliated with any hospitals?

According to CMS data, Edmund Simon is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Edmund Simon was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.