PEGGY M SIMON M.D.
NPI 1770688236
Internal Medicine - Pulmonary Disease in Berlin, NH

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
59 PAGE HILL RD, BERLIN, NH 03570(603) 752-2200(603) 326-5832 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peggy M Simon M.d. NPPES

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

PEGGY M SIMON M.D. (NPI 1770688236) is an individual pulmonary disease provider in Berlin, New Hampshire, licensed in New Hampshire (10437) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1981).

NPPES Registry Identity

NPI1770688236
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NamePEGGY M SIMONCredential: M.D.
Location Address59 PAGE HILL RDBerlin, NH 03570-3531
Mailing Address59 Page Hill RdBerlin, NH 03570-3531 · (603) 752-2200 · Fax (603) 326-5832
Fax(603) 326-5832
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1981
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 17, 2014
NPI 1770688236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NH · 10437 Licensed in MD · D65452
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D65452 (MD)
59 PAGE HILL RD, Berlin, NH 03570

Other Identifiers 7

Medicare UPINRE7915NH
Medicare UPINDO3165
Medicaid662303400MD
Medicare PINP982MD
OtherS062-0282MD · Bc/bs Regional
Medicare UPINNH0022NH
Other892015-01MD · Bc/bs

Accepted 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

Peggy M 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 ID6204847833
PECOS Enrollment IDI20060511000097
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 2

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 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.
57 services43 patients
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.
31 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Upper Connecticut Valley Hospital

Critical Access Hospitals · Colebrook, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301300
Location181 Corliss LaneColebrook, NH 03576 · Coos County
Emergency services

Weeks Medical Center

Critical Access Hospitals · Lancaster, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301303
Location173 Middle StreetLancaster, NH 03584 · Coos County
Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Androscoggin Valley Hospital

Critical Access Hospitals · Berlin, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301310
Location59 Page Hill RoadBerlin, NH 03570 · Coos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03570 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%28 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%64 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%64 patients4/55-star benchmark: 97%
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…
89%64 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%64 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%64 patients
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 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers60 claims60 services$18.81 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers63 claims69 services$7.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers422 claims423 services$109.91 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
7 suppliers165 claims166 services$34.02 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers15 claims4,387 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers18 claims2,009 services$0.09 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 20

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

Audiologist
59 PAGE HILL RD
BERLIN, NH 03570
Radiology (Diagnostic Radiology)
59 PAGE HILL RD
BERLIN, NH 03570
Nurse Anesthetist, Certified Registered
59 PAGE HILL RD, ANESTHESIA DEPARTMENT
BERLIN, NH 03570
Family Medicine
59 PAGE HILL RD
BERLIN, NH 03570
Physician Assistant
59 PAGE HILL RD
BERLIN, NH 03570
Emergency Medicine
59 PAGE HILL RD
BERLIN, NH 03570
Nurse Anesthetist, Certified Registered
59 PAGE HILL RD
BERLIN, NH 03570
Internal Medicine
59 PAGE HILL RD
BERLIN, NH 03570

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 Peggy Simon's NPI number?

The NPI number for Peggy Simon is 1770688236. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Peggy Simon located?

Peggy Simon practices at 59 Page Hill Rd, Berlin, NH 03570. The listed phone number is (603) 752-2200.

What is Peggy Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Peggy Simon enrolled in Medicare?

Yes. Peggy 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 Peggy Simon accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Peggy 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 Peggy Simon affiliated with any hospitals?

According to CMS data, Peggy Simon is affiliated with Mary Hitchcock Memorial Hospital, Upper Connecticut Valley Hospital, Weeks Medical Center, Memorial Hospital, The and Androscoggin Valley Hospital.

When was this NPI record last updated?

The NPPES record for Peggy Simon was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.