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SHELDON SIMON D.P.M.
NPI 1922082957
Podiatrist in Owensboro, KY

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
1915 W PARRISH AVE, STE 300, OWENSBORO, KY 42301(270) 683-4844(270) 926-8366 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sheldon Simon D.p.m. NPPES

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

SHELDON SIMON D.P.M. (NPI 1922082957) is an individual podiatrist in Owensboro, Kentucky, licensed in Kentucky (119) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1971).

NPPES Registry Identity

NPI1922082957
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSHELDON SIMONCredential: D.P.M.
Location Address1915 W PARRISH AVE, STE 300Owensboro, KY 42301-3519
Mailing Address1915 W Parrish Ave, Ste 300Owensboro, KY 42301-3519 · (270) 683-4844 · Fax (270) 926-8366
Phone(270) 683-4844
Fax(270) 926-8366
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1971
Enumeration DateDecember 2, 2005
Last NPPES UpdateOctober 6, 2015
✔ NPI 1922082957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in KY · 119✔ Licensed in IN · 07000335A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 00119 (KY)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1915 W PARRISH AVE, Owensboro, KY 42301
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Other Identifiers 10

Other000000045182KY · Anthem
Medicare UPINT54154KY
Medicare PIN480587001KY
Medicare PIN2000201KY
Medicare PIN1678801KY
Medicaid90270307KY
Medicare NSC0248600001KY
Medicaid80001191KY
Medicaid100027980AIN
Medicaid45803004KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 and accepts Medicare assignment

Sheldon Simon D.p.m. 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 ID8820038474
PECOS Enrollment IDI20080906000005
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 10

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.
281 services91 patients
Application of whirlpool therapy 97022
Whirlpool therapy involves submerging a body part or the whole body in heated water. The swirling water helps to improve blood circulation, relax muscles, and promote healing. It's often used for conditions like arthritis, muscle strains, and post-surgical rehab.
135 services73 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
88 services38 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
82 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
58 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 5

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier12 claims22 services$46.96 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier46 claims46 services$19.03 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier119 claims123 services$17.02 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims12 services$14.50 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard A6445
DME-Medical/Surgical Supplies · category DA023N
1 supplier49 claims49 services$0.28 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 2

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

KRISTEN GEDNEY
Hearing Instrument Specialist
1915 W PARRISH AVE
OWENSBORO, KY 42301
Daviess County (270) 683-2609
GREG THOMPSON
Hearing Instrument Specialist
1915 W PARRISH AVE, STE 400
OWENSBORO, KY 42301
Daviess County (270) 683-7173

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 Sheldon Simon's NPI number?

The NPI number for Sheldon Simon is 1922082957. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Sheldon Simon located?

Sheldon Simon practices at 1915 W Parrish Ave Ste 300, Owensboro, KY 42301. The listed phone number is (270) 683-4844.

What is Sheldon Simon's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sheldon Simon enrolled in Medicare?

Yes. Sheldon 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.

What insurance does Sheldon Simon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sheldon 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 Sheldon Simon was last updated on October 6, 2015. 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.