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DR. ZACHARY SIMONS MD
NPI 1730569476
Internal Medicine in Denver, CO

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
100 COOK ST, DENVER, CO 80206(720) 516-9406(720) 516-9434 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Jun 4, 2021, Aug 10, 2020 (3 updates tracked since 2020).

About Dr. Zachary Simons Md NPPES

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

DR. ZACHARY SIMONS MD (NPI 1730569476) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (DR.0070141) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2015).

NPPES Registry Identity

NPI1730569476
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ZACHARY SIMONSCredential: MD
Location Address100 COOK STDenver, CO 80206-5322
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4123 · Fax (970) 624-2416
Phone(720) 516-9406
Fax(720) 516-9434
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2015
Enumeration DateJune 8, 2015
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1730569476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0070141
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.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License FS9593763 (PA), MD471579 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11018183A (IN)
100 COOK ST, Denver, CO 80206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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. Zachary 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 ID9830401280
PECOS Enrollment IDI20230403001791
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 6

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.
195 services143 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.
142 services120 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.
128 services128 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
113 services71 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.
110 services110 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
92 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
12 suppliers113 claims114 services$185.17 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 3

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

MEGAN S. HILL NP
Nurse Practitioner (Adult Health)
100 COOK ST
DENVER, CO 80206
Denver County (720) 848-0000
HANNAH SMITH PA-C
Physician Assistant
100 COOK ST
DENVER, CO 80206
Denver County (720) 635-3660
UNIVERSITY PHYSICIANS INCORPORATED
Internal Medicine
100 COOK ST
DENVER, CO 80206
Denver County (720) 516-9400

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 Zachary Simons's NPI number?

The NPI number for Zachary Simons is 1730569476. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Zachary Simons located?

Zachary Simons practices at 100 Cook St, Denver, CO 80206. The listed phone number is (720) 516-9406.

What is Zachary Simons's specialty?

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

Is Zachary Simons enrolled in Medicare?

Yes. Zachary 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.

What insurance does Zachary Simons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Zachary Simons 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.

When was this NPI record last updated?

The NPPES record for Zachary Simons was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.