PAUL A SIMONOFF MD
NPI 1811980055
Internal Medicine - Cardiovascular Disease in Marietta, GA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060(770) 424-6893(770) 528-9938 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul A Simonoff Md NPPES

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

PAUL A SIMONOFF MD (NPI 1811980055) is an individual cardiovascular disease provider in Marietta, Georgia, licensed in Georgia (037688) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1992).

NPPES Registry Identity

NPI1811980055
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL A SIMONOFFCredential: MD
Location Address55 WHITCHER ST NE, SUITE 350Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Fax(770) 528-9938
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1992
Enumeration DateAugust 23, 2005
Last NPPES UpdateDecember 2, 2019
NPI 1811980055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 037688
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

55 WHITCHER ST NE, Marietta, GA 30060

Other Identifiers 2

Medicaid000153106QGA
Medicaid000153106MGA

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

Paul A Simonoff 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 ID5496706780
PECOS Enrollment IDI20061218000248
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 22

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, 30-39 minutes 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.
660 services320 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
365 services350 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
360 services285 patients
Follow-up hospital inpatient care per day, typically 35 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.
285 services116 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
109 services109 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
101 services97 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier16 claims16 services$14.19 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
1 supplier48 claims48 services$64.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.75 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.

Surgery (Vascular Surgery)
55 WHITCHER ST NE, SUITE 130
MARIETTA, GA 30060
Surgery (Vascular Surgery)
55 WHITCHER ST NE, SUITE 130
MARIETTA, GA 30060
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Infectious Disease)
55 WHITCHER ST NE, SUITE 220
MARIETTA, GA 30060
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 WHITCHER ST NE, SUITE 400
MARIETTA, GA 30060

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 Paul Simonoff's NPI number?

The NPI number for Paul Simonoff is 1811980055. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Paul Simonoff located?

Paul Simonoff practices at 55 Whitcher St NE Suite 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.

What is Paul Simonoff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Simonoff enrolled in Medicare?

Yes. Paul Simonoff 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 Paul Simonoff accept?

Health plans from Alliant Health Plans, Inc. list Paul Simonoff 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 Paul Simonoff affiliated with any hospitals?

According to CMS data, Paul Simonoff is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center, Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Paul Simonoff was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.