JOHN C SIMON MD
NPI 1760489892
Internal Medicine - Nephrology in Covington, LA

Q: What is John Simon's NPI number?

The NPI number for John Simon is 1760489892. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Q: What is John Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for John Simon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment

1970 N HWY 190, COVINGTON, LA 70433(985) 867-8585(985) 867-3644 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Mar 23, 2018, Dec 6, 2017 (3 updates tracked since 2017).

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About John C Simon Md NPPES

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

JOHN C SIMON MD (NPI 1760489892) is an individual nephrology provider in Covington, Louisiana, licensed in Louisiana (MD.021048) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Bogalusa.

NPPES Registry Identity

NPI1760489892

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJOHN C SIMONCredential: MD

Location Address1970 N HWY 190Covington, LA 70433-5158

Mailing AddressPo Box 3370Covington, LA 70434-3370 · (985) 867-8585 · Fax (985) 867-3644

Phone(985) 867-8585

Fax(985) 867-3644

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1990

Enumeration DateJuly 5, 2005

Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2025

✔ NPI 1760489892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in LA · MD.021048

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.021048 (LA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD.021048 (LA)

1970 N HWY 190, Covington, LA 70433

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Secondary Practice Location 1

Location 11415 Avenue FBogalusa, LA 70427-4340 · Phone (985) 867-8585 · Fax (985) 867-3644

Other Identifiers 1

Medicaid1989487LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

John C Simon 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 ID4688582083

PECOS Enrollment IDI20051018000162

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

2,882 services401 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

310 services97 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

255 services206 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

213 services109 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

158 services95 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

58 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190045

Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County

Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number190176

Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County

Emergency services Birthing friendly

Riverside Medical Center

Critical Access Hospitals · Franklinton, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191313

Location1900 South Main StFranklinton, LA 70438 · Washington County

Emergency services

Highland Community Hospital

Acute Care Hospitals · Picayune, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250117

Location130 Highland PkwyPicayune, MS 39466 · Pearl River County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

100%20 patients5/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%20 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 11

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

5 suppliers23 claims23 services$52.18 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

7 suppliers11 claims11 services$58.25 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

3 suppliers16 claims16 services$9.22 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

7 suppliers68 claims68 services$44.69 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

12 suppliers180 claims183 services$16.21 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers47 claims47 services$4.79 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.

JEFFREY J STEIN ACNP

Nurse Practitioner