FRANK J SIMONE MD
NPI 1932159084
Radiology - Diagnostic Radiology in Indiana, PA

Q: What is Frank Simone's NPI number?

The NPI number for Frank Simone is 1932159084. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Frank Simone's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Frank Simone was last updated on January 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2006PECOS Enrolled

75/100

CMS Quality Rating

835 HOSPITAL RD, INDIANA, PA 15701(724) 357-7125(724) 357-7482 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Frank J Simone Md NPPES

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

FRANK J SIMONE MD (NPI 1932159084) is an individual diagnostic radiology provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD024040E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932159084

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameFRANK J SIMONECredential: MD

Location Address835 HOSPITAL RDIndiana, PA 15701-3629

Mailing Address7 Acee DriveNatrona Heights, PA 15065 · (800) 223-5544 · Fax (724) 294-3206

Phone(724) 357-7125

Fax(724) 357-7482

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateJanuary 14, 2015

✔ NPI 1932159084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MD024040E

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License MD024040E (PA)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License MD024040E (PA)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License MD024040E (PA)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD024040E (PA)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License MD024040E (PA)

835 HOSPITAL RD, Indiana, PA 15701

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Other Identifiers 5

Medicaid0009115040005PA

Medicare UPINC29512

Other090080PA · Highmark

Medicare PIN090080

Other300025357Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frank J Simone Md 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.

Areas of Expertise CMS Part B claims 2

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

17 services17 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

62%684 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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