DR. CAROLINE JOSEPHINE SIMON MD
NPI 1790903524
Surgery in Houston, TX

Q: What is Caroline Simon's NPI number?

The NPI number for Caroline Simon is 1790903524. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Caroline Simon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Simon was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

6550 FANNIN ST STE 1601, HOUSTON, TX 77030(713) 441-5133 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2023, Sep 28, 2020, Mar 7, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. Caroline Josephine Simon Md NPPES

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

DR. CAROLINE JOSEPHINE SIMON MD (NPI 1790903524) is an individual surgery provider in Houston, Texas, licensed in Texas (T9248) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790903524

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. CAROLINE JOSEPHINE SIMONCredential: MD

Location Address6550 FANNIN ST STE 1601Houston, TX 77030-2743

Mailing Address6550 Fannin Street, Smith Tower, Suite 1601Houston, TX 77401-2717 · (713) 441-5133

Phone(713) 441-5133

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 24, 2007

Last NPPES UpdateJanuary 20, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1790903524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TX · T9248✔ Licensed in MA · 246669

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedTransplant SurgeryTaxonomy 204F00000X · License 246669 (MA), T9248 (TX)

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 246669 (MA), T9248 (TX)

6550 FANNIN ST STE 1601, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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. Caroline Josephine 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 ID9739460478

PECOS Enrollment IDI20221123002472

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services13 patients

Transplantation of donor liver 47135

Transplantation of a donor liver is a procedure where a diseased liver is replaced with a healthy one from a donor. This can be a life-saving operation for conditions such as liver failure or liver cancer. The new liver takes over the functions of the old one, helping the body process nutrients, filter blood, and fight infections.

15 services15 patients

Preparation of donor liver for transplantation 47143

The preparation of a donor liver for transplantation involves a series of steps. First, the liver is carefully removed from the donor. It's then preserved in a special solution to maintain its function. Afterward, it's inspected and prepared for transplantation into the recipient.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers63 claims7,530 services$0.32 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers19 claims2,100 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers56 claims56 services$18.91 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers24 claims24 services$12.61 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 6

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

LEONORA MARY MEISENBACH RN,ACNP-BC

Nurse Practitioner (Acute Care)