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EDDY SIMON MD
NPI 1851385058
Internal Medicine in East Orange, NJ

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
310 CENTRAL AVENUE, SUITE 102, EAST ORANGE, NJ 07018(973) 395-1550(973) 395-1556 Get Directions Write a Review

NPPES record last updated: April 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eddy Simon Md NPPES

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

EDDY SIMON MD (NPI 1851385058) is an individual internal medicine provider in East Orange, New Jersey, licensed in New Jersey (MA062638) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1851385058
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDDY SIMONCredential: MD
Location Address310 CENTRAL AVENUE, SUITE 102East Orange, NJ 07018
Mailing Address21 Edgewood RoadSummit, NJ 07901 · (973) 395-1550 · Fax (973) 395-1556
Phone(973) 395-1550
Fax(973) 395-1556
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 2, 2005
Last NPPES UpdateApril 20, 2019
✔ NPI 1851385058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA062638
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.
310 CENTRAL AVENUE, East Orange, NJ 07018
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Other Identifiers 1

Medicaid6687504NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eddy 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 ID5294721346
PECOS Enrollment IDI20040423000024
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Eddy Simon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Heart Center Of The Oranges
0.7 mi
Cardiovascular Disease
60 EVERGREEN PLACE, SUITE 400
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
NPI 1477532588 (973) 395-1550
Plainfield Emergency Physicians, PA
14 mi
Emergency Medicine
1200 PARK AVE
Plainfield, NJ 07060
  • Reassigned Medicare billing, New Jersey enrollment
  • 103 clinicians in this Medicare group
NPI 1659309680 (856) 686-4316
Middlesex Emergency Physicians, P.A.
15 mi
Emergency Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 156 clinicians in this Medicare group
NPI 1811921760 (732) 321-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
224 services114 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.
216 services108 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
150 services72 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
97 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims40 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims14 services$1.16 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$5.90 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 10

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

BRUCE THEALL DPM LLC
Podiatrist (Foot & Ankle Surgery)
310 CENTRAL AVENUE, SUITE 301
EAST ORANGE, NJ 07018
Essex County (973) 673-3668
SANJAYKUMAR SHAH APN
Nurse Practitioner (Acute Care)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
MR. YASH K KHANNA MD
Pediatrics
310 CENTRAL AVENUE, SUITE 305
EAST ORANGE, NJ 07018
Essex County (973) 678-2900
NEUROSURGICAL MONITORING ASSOCIATES, LLC
Specialist/Technologist, Other (Electroneurodiagnostic)
310 CENTRAL AVENUE, SUITE 203
EAST ORANGE, NJ 07018
Essex County (862) 343-7278
DR. CHRISTOPHER MORRELL M.D.
Family Medicine
310 CENTRAL AVENUE
EAST ORANGE, NJ 07018
Essex County (973) 515-8170
JAMILA B JONES APN
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
JANIECE HOWELL APN
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
RADHIKA BAWA MD
Internal Medicine
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550

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 Eddy Simon's NPI number?

The NPI number for Eddy Simon is 1851385058. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Eddy Simon located?

Eddy Simon practices at 310 Central Avenue Suite 102, East Orange, NJ 07018. The listed phone number is (973) 395-1550.

What is Eddy Simon's specialty?

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

Is Eddy Simon enrolled in Medicare?

Yes. Eddy 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.

Which organizations bill Medicare for Eddy Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddy Simon reassigns Medicare benefits to 3 organizations: The Heart Center Of The Oranges (East Orange, NJ), Plainfield Emergency Physicians, PA (Plainfield, NJ) and Middlesex Emergency Physicians, P.A. (Edison, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eddy Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddy Simon accept?

Health plans from Ambetter Health and Oscar Health list Eddy Simon 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.

When was this NPI record last updated?

The NPPES record for Eddy Simon was last updated on April 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.