SCOTT DAVID SIMON M.D.
NPI 1841237955
Urology in La Jolla, CA

Q: What is Scott Simon's NPI number?

The NPI number for Scott Simon is 1841237955. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Scott Simon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Simon was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment

99.06/100

CMS Quality Rating

9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 92037(858) 458-0099(858) 429-7935 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scott David Simon M.d. NPPES

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

SCOTT DAVID SIMON M.D. (NPI 1841237955) is an individual urology provider in La Jolla, California, licensed in California (A89550) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1996).

NPPES Registry Identity

NPI1841237955

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSCOTT DAVID SIMONCredential: M.D.

Location Address9834 GENESEE AVE, SUITE 416La Jolla, CA 92037-1223

Mailing AddressPo Box 25100Fresno, CA 93729-5100 · (559) 326-1222 · Fax (559) 326-1230

Phone(858) 458-0099

Fax(858) 429-7935

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1996

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 27, 2020

✔ NPI 1841237955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A89550

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

9834 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 2

OtherCB228657CA · Medicare Ptan

OtherGI563ACA · Medicare Group Ptan

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

Scott David Simon 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 ID9931148087

PECOS Enrollment IDI20050520000642

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 18

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.

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

385 services276 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.

307 services229 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

264 services202 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.

117 services117 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

78 services71 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services36 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

36 services35 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

36 services36 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

35 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

25 services17 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

25 services19 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.

19 services17 patients

Destruction of prostate tissue using radiofrequency induced heated water vapor 53854

This procedure involves the use of heated water vapor to eliminate unwanted tissue in a certain region within your body. The heat is produced by radiofrequency energy. This method is less invasive, usually resulting in a quicker recovery time.

17 services17 patients

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.

17 services12 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

16 services12 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services11 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

99.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

98.13

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

84%58 patients4/55-star benchmark: 93%

Cervical Cancer Screening

80%56 patients4/55-star benchmark: 98%

Colorectal Cancer Screening

84%503 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

95%1,538 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%540 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

93%938 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

80%1,084 patients5/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 390 patients

100%390 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 569 patients

Patients totalRate: 1% · 569 patients

0%569 patients5/55-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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers49 claims6,300 services$1.42 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers44 claims5,940 services$6.14 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

2 suppliers13 claims52 services$1.54 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.

DAVID SCOTT MICHELSON MD

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

DR. ERIC HONG M.D.

Internal Medicine (Cardiovascular Disease)

9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 824-2900

HAILEY ENGLERT SLP

Speech-Language Pathologist

9834 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 626-4444

SCOTT R MILLER MD FACS APC

Plastic Surgery

9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037

San Diego County (858) 453-3133

PAUL E MICHELSON MD, INC

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

MARILYN SARA FREEMAN PH.D., MFT

Marriage & Family Therapist

9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037

San Diego County (858) 502-5553

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION

Specialist

9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

FREDERICK J DE LA VEGA, MD

Specialist

9834 GENESEE AVE, 411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

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 Scott Simon's NPI number?

The NPI number for Scott Simon is 1841237955. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Scott Simon located?

Scott Simon practices at 9834 Genesee Ave Suite 416, La Jolla, CA 92037. The listed phone number is (858) 458-0099.

What is Scott Simon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Scott Simon enrolled in Medicare?

Yes. Scott Simon 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.

When was this NPI record last updated?

The NPPES record for Scott Simon was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.