DR. LUKE CHRISTOPHER SIMON DO
NPI 1740804590
Ophthalmology in Stockton, CA

NPI Status: Active since June 07, 2020

Contact Information

255 E WEBER AVE
STOCKTON, CA
ZIP 95202
Phone: (209) 466-5566

Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 6
Ophthalmology
May Accept Medicare Approved Payment
PECOS Enrolled

About LUKE SIMON

This page provides the complete NPI Profile along with additional information for Luke Simon, a provider established in Stockton, California with a medical specialization in Ophthalmology and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1740804590 assigned on June 2020. The practitioner's primary taxonomy code is 207W00000X with license number 20A23643 (CA). The provider is registered as an individual and his NPI record was last updated July 2025.

NPI: 1740804590
Provider Name: DR. LUKE CHRISTOPHER SIMON DO
Gender: Male
Entity Type: Individual
Location Address: 255 E WEBER AVE STOCKTON, CA 95202
Location Phone: (209) 466-5566
Mailing Address: 255 E WEBER AVE STOCKTON, CA 95202
Mailing Phone: (209) 466-5566
Medical School Name: OTHER
Graduation Year: 2020
Is Sole Proprietor?: No
Enumeration Date: 06-07-2020
Last Update Date: 07-31-2025
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Ophthalmologists like Luke Simon specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Secondary Locations

1801 E March Ln
Stockton, CA 95210
(209) 466-5566
421 S Ham Ln
Lodi, CA 95242
(209) 466-5566
817 Court St
Jackson, CA 95642
(209) 466-5566

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Ophthalmology
Taxonomy Code: 207W00000X
Type: Allopathic & Osteopathic Physicians
License No.: 20A23643
License State: CA
Taxonomy Description: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Medicare Participation & PECOS Enrollment Status

Luke Simon is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Luke Simon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 1759807381
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20250428001711
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $133.94
Minimum New Patient Price $58.87
Maximum New Patient Price $176.6

Average New Patient Copayment $33.48
Minimum New Patient Copayment $14.71
Maximum New Patient Copayment $44.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $73.16
Minimum Established Patient Price $19.28
Maximum Established Patient Price $144.6

Average Established Patient Copayment $18.29
Minimum Established Patient Copayment $4.82
Maximum Established Patient Copayment $36.15

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	4	0	8	0	4	5	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	8	0	16	0	8	5	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 6 + 0 + 8 + 5 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1740804590 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.