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DR. KATHRYN A SIMON DDS
NPI 1881850576
Dentist in Saint Louis, MO

Active since August 01, 2008PECOS Enrolled
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 371-0336(314) 531-0063 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathryn A Simon Dds NPPES

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

DR. KATHRYN A SIMON DDS (NPI 1881850576) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2011012531) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881850576
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATHRYN A SIMONCredential: DDS
Location Address4352 MANCHESTER AVESaint Louis, MO 63110-2138
Mailing Address4352 Manchester AveSaint Louis, MO 63110-2138 · (314) 371-0336 · Fax (314) 531-0063
Phone(314) 371-0336
Fax(314) 531-0063
Sole ProprietorNo
Enumeration DateAugust 1, 2008
Last NPPES UpdateJuly 1, 2014
✔ NPI 1881850576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2011012531
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4352 MANCHESTER AVE, Saint Louis, MO 63110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn A Simon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

FAMILY CARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 481-1616
COLEEN R. JONES WHNP-BC
Nurse Practitioner
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
DR. JAIME ZENGOTITA MD
Family Medicine
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
VICKI SWYERS LCSW
Social Worker (Clinical)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
RICHARD GERALD BOLANOS JR. M.D.
Obstetrics & Gynecology
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
DR. HARRY RICHARD SCHARF DENTIST
Dentist
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
VALERIE LATRICE JOHNSON WHNP-BC
Nurse Practitioner (Women's Health)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
DR. TARA MARIE BUDETTI M.D.
Pediatrics
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444

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 Kathryn Simon's NPI number?

The NPI number for Kathryn Simon is 1881850576. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Kathryn Simon located?

Kathryn Simon practices at 4352 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 371-0336.

What is Kathryn Simon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kathryn Simon enrolled in Medicare?

Yes. Kathryn Simon is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Simon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kathryn 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 Kathryn Simon was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.