DR. TAMARA MARIE SIMON MD
NPI 1891730917
Obstetrics & Gynecology - Gynecology in Eagle, ID
About Dr. Tamara Marie Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAMARA MARIE SIMON MD (NPI 1891730917) is an individual gynecology provider in Eagle, Idaho, licensed in Idaho (M8909) and active in the NPI registry since June 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and is a graduate of Eastern Virginia Medical School (1996).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Tamara Marie Simon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAGLE, ID 83616
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 Tamara Simon's NPI number?
The NPI number for Tamara Simon is 1891730917. It was assigned to this individual provider in the NPPES registry on June 20, 2006.
Where is Tamara Simon located?
Tamara Simon practices at 951 E Plaza Dr Suite 170, Eagle, ID 83616. The listed phone number is (208) 939-3505.
What is Tamara Simon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Tamara Simon enrolled in Medicare?
No. Tamara Simon has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Tamara Simon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. Tamara Marie Simon, MD · NPI 1891730917
Gynecology physician in Eagle, Idaho. Individual provider, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1891730917 (Entity type: Individual)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** M8909 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 951 E PLAZA DR, SUITE 170, Eagle, ID 83616-6566
- **Phone:** (208) 939-3505
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
- **Medical school:** Eastern Virginia Medical School, class of 1996
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891730917) · Data from the CMS NPPES public registry.