MICHAEL L SIMONSON MD
NPI 1881787372
Surgery in North Platte, NE

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
516 W LEOTA ST, NORTH PLATTE, NE 69101(308) 534-5370(308) 534-3813 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael L Simonson Md NPPES

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

MICHAEL L SIMONSON MD (NPI 1881787372) is an individual surgery provider in North Platte, Nebraska, licensed in Nebraska (26195) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Creighton University School Of Medicine (2006).

NPPES Registry Identity

NPI1881787372
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL L SIMONSONCredential: MD
Location Address516 W LEOTA STNorth Platte, NE 69101-6533
Mailing AddressPo Box 9994North Platte, NE 69103-9994 · (308) 534-5370 · Fax (308) 696-8349
Fax(308) 534-3813
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2006
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 22, 2016
NPI 1881787372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NE · 26195
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
516 W LEOTA ST, North Platte, NE 69101

Other Identifiers 1

Medicaid10026413401NE

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

Michael L Simonson 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 ID1456520873
PECOS Enrollment IDI20110801000642
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 17

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 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.
83 services80 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.
71 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
67 services67 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
67 services66 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.
63 services44 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.
53 services50 patients

Hospital Affiliations CMS Care Compare 4

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Cozad Community Hospital

Critical Access Hospitals · Cozad, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281327
LocationP O Box 108, 300 East 12th StCozad, NE 69130 · Dawson County
Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number281363
LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69101 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.35 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.08 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 5

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

Surgery
516 W LEOTA ST
NORTH PLATTE, NE 69101
Surgery
516 W LEOTA ST
NORTH PLATTE, NE 69101
Surgery
516 W LEOTA ST
NORTH PLATTE, NE 69101
Surgery
516 W LEOTA ST
NORTH PLATTE, NE 69101
Surgery
516 W LEOTA ST
NORTH PLATTE, NE 69101

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 Michael Simonson's NPI number?

The NPI number for Michael Simonson is 1881787372. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Michael Simonson located?

Michael Simonson practices at 516 W Leota St, North Platte, NE 69101. The listed phone number is (308) 534-5370.

What is Michael Simonson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Simonson enrolled in Medicare?

Yes. Michael Simonson 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 Michael Simonson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Michael Simonson 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 Michael Simonson affiliated with any hospitals?

According to CMS data, Michael Simonson is affiliated with The Nebraska Medical Center, Great Plains Health, Cozad Community Hospital and Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Simonson was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.