DR. ANTHONY J. SIMONS M.D.
NPI 1811995053
Colon & Rectal Surgery in Longview, WA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
1615 DELAWARE ST, SUITE 200, LONGVIEW, WA 98632(360) 501-3500(360) 501-3555 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anthony J. Simons M.d. NPPES

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

DR. ANTHONY J. SIMONS M.D. (NPI 1811995053) is an individual colon & rectal surgery provider in Longview, Washington, licensed in Washington (MD00034692) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1811995053
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. ANTHONY J. SIMONSCredential: M.D.
Location Address1615 DELAWARE ST, SUITE 200Longview, WA 98632-2310
Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 414-2048 · Fax (360) 575-6749
Fax(360) 501-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 12, 2005
Last NPPES UpdateNovember 14, 2007
NPI 1811995053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in WA · MD00034692
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1615 DELAWARE ST, Longview, WA 98632

Other Identifiers 7

Medicare UPINF65809WA
Medicare PIN8864664WA
Other0217054WA · Labor & Ind.
OtherP00394870Railroad Medicare
Medicaid8205411WA
Other8943481WA · Crime Victims
Medicaid149992OR

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

Dr. Anthony J. Simons 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 ID8426086604
PECOS Enrollment IDI20070427000062
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 4

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
43 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

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.

Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Surgery
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632

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 Anthony Simons's NPI number?

The NPI number for Anthony Simons is 1811995053. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Anthony Simons located?

Anthony Simons practices at 1615 Delaware St Suite 200, Longview, WA 98632. The listed phone number is (360) 501-3500.

What is Anthony Simons's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Anthony Simons enrolled in Medicare?

Yes. Anthony Simons 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 Anthony Simons accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Anthony Simons 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 Anthony Simons affiliated with any hospitals?

According to CMS data, Anthony Simons is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Simons was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.