JOSEPH SIMONETT
NPI 1770972440
Ophthalmology in Milwaukie, OR

Active since January 17, 2015PECOS EnrolledAccepts Medicare Assignment
92.68/100
CMS Quality Rating
11086 SE OAK ST, MILWAUKIE, OR 97222(503) 656-4221(503) 656-4249 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Nov 10, 2021, Apr 16, 2020 (3 updates tracked since 2020).

About Joseph Simonett NPPES

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

JOSEPH SIMONETT (NPI 1770972440) is an individual ophthalmology provider in Milwaukie, Oregon, licensed in Oregon (MD210044) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Northwestern University Feinberg Medical School (2016).

NPPES Registry Identity

NPI1770972440
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSEPH SIMONETT
Location Address11086 SE OAK STMilwaukie, OR 97222-6692
Mailing AddressPo Box 22009Portland, OR 97269-2009 · (503) 558-7372 · Fax (503) 344-5140
Fax(503) 656-4249
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016
Enumeration DateJanuary 17, 2015
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1770972440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OR · MD210044 Licensed in UT · 11651272-1205
Definition
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.
11086 SE OAK ST, Milwaukie, OR 97222

Other Identifiers 1

Medicaid500728925OR

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

Joseph Simonett 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 ID4082909239
PECOS Enrollment IDI20200430001282, I20220705002074
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 13

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
12,061 services43 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,180 services472 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
750 services190 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.
437 services269 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
433 services115 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
316 services46 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97222 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

92.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.19
Promoting Interoperability100
Improvement Activities40
Cost76.42

Other Providers at the Same Location NPPES 7

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

Ophthalmology
11086 SE OAK ST
MILWAUKIE, OR 97222
Ophthalmology
11086 SE OAK ST
MILWAUKIE, OR 97222
Eyewear Supplier
11086 SE OAK ST, ADMINISTRATION
MILWAUKIE, OR 97222
Eyewear Supplier
11086 SE OAK ST
MILWAUKIE, OR 97222
Ophthalmology
11086 SE OAK ST, ADMINISTRATION
MILWAUKIE, OR 97222
Optometrist
11086 SE OAK ST
MILWAUKIE, OR 97222
Optometrist
11086 SE OAK ST
MILWAUKIE, OR 97222

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 Joseph Simonett's NPI number?

The NPI number for Joseph Simonett is 1770972440. It was assigned to this individual provider in the NPPES registry on January 17, 2015.

Where is Joseph Simonett located?

Joseph Simonett practices at 11086 SE Oak St, Milwaukie, OR 97222. The listed phone number is (503) 656-4221.

What is Joseph Simonett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Simonett enrolled in Medicare?

Yes. Joseph Simonett 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 Joseph Simonett accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Molina Healthcare and Providence Health Plan and 2 other insurers list Joseph Simonett 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 Joseph Simonett affiliated with any hospitals?

According to CMS data, Joseph Simonett is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Joseph Simonett was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.