PETER SIMON MD
NPI 1851481972
Internal Medicine - Critical Care Medicine in Beaver, PA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
1000 DUTCH RIDGE RD, BEAVER, PA 15009(724) 773-1941(724) 773-8370 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Simon Md NPPES

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

PETER SIMON MD (NPI 1851481972) is an individual critical care medicine provider in Beaver, Pennsylvania, licensed in Pennsylvania (MD430138) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of University Of Massachusetts Medical School (2004).

NPPES Registry Identity

NPI1851481972
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePETER SIMONCredential: MD
Location Address1000 DUTCH RIDGE RDBeaver, PA 15009-9727
Mailing Address1000 Dutch Ridge RdBeaver, PA 15009-9727 · (724) 773-1941 · Fax (724) 773-8370
Fax(724) 773-8370
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 22, 2018
NPI 1851481972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in PA · MD430138
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD430138 (PA)
1000 DUTCH RIDGE RD, Beaver, PA 15009

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

Peter 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 ID1355341066
PECOS Enrollment IDI20070103000213
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
103 services46 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.
47 services26 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
22 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15009 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Family Medicine
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Dietitian, Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Clinic/Center (Recovery Care)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Emergency Medicine
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Nurse Anesthetist, Certified Registered
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Radiology (Diagnostic Radiology)
1000 DUTCH RIDGE RD
BEAVER, PA 15009
Surgery (Vascular Surgery)
1000 DUTCH RIDGE RD
BEAVER, PA 15009

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 Peter Simon's NPI number?

The NPI number for Peter Simon is 1851481972. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Peter Simon located?

Peter Simon practices at 1000 Dutch Ridge Rd, Beaver, PA 15009. The listed phone number is (724) 773-1941.

What is Peter Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Peter Simon enrolled in Medicare?

Yes. Peter 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.

Is Peter Simon affiliated with any hospitals?

According to CMS data, Peter Simon is affiliated with Heritage Valley Beaver and Heritage Valley Sewickley.

When was this NPI record last updated?

The NPPES record for Peter Simon was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.