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DR. LLOYD SIMON M.D.
NPI 1811921463
Internal Medicine in Southold, NY

Active since July 10, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
44210 COUNTY ROAD 48, SOUTHOLD, NY 11971(631) 765-4150(631) 765-4688 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lloyd Simon M.d. NPPES

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

DR. LLOYD SIMON M.D. (NPI 1811921463) is an individual internal medicine provider in Southold, New York, licensed in New York (153210) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811921463
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LLOYD SIMONCredential: M.D.
Location Address44210 COUNTY ROAD 48Southold, NY 11971-5032
Mailing AddressPo Box 1341Southold, NY 11971-0963 · (631) 765-4150 · Fax (631) 765-4688
Phone(631) 765-4150
Fax(631) 765-4688
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 6, 2016
✔ NPI 1811921463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 153210
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 153210-1 (NY)
44210 COUNTY ROAD 48, Southold, NY 11971
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Other Identifiers 3

Medicaid00757786NY
Medicare UPINB87339NY
Medicare PINA400084350NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lloyd Simon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11971 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
74%42 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
64%1,576 patients1/55-star benchmark: 100%
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.
100%2,316 patients5/55-star benchmark: 100%
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.
8%50 patients1/55-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.
28%559 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%395 patients5/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
79%461 patients4/55-star benchmark: 88%
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…
62%559 patients3/55-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.

Other Providers at the Same Location NPPES 3

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

DR. YULIYA VINNITSKAYA M.D.
Internal Medicine
44210 COUNTY ROAD 48
SOUTHOLD, NY 11971
Suffolk County (631) 765-4150
STEVEN J.N. CHIERCHIE, D.C., P.C.
Chiropractor
44210 COUNTY ROAD 48
SOUTHOLD, NY 11971
Suffolk County (631) 765-5151
MRS. SALLY CATHERINE MONAHAN NURSE PRACTITIONER
Nurse Practitioner (Family)
44210 COUNTY ROAD 48
SOUTHOLD, NY 11971
Suffolk County (631) 765-4150

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 Lloyd Simon's NPI number?

The NPI number for Lloyd Simon is 1811921463. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Lloyd Simon located?

Lloyd Simon practices at 44210 County Road 48, Southold, NY 11971. The listed phone number is (631) 765-4150.

What is Lloyd Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lloyd Simon enrolled in Medicare?

Yes. Lloyd Simon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lloyd Simon was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.