DR. PHILLIP NEAL SIMON M.D.
NPI 1972517522
Internal Medicine in Westerville, OH

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
110 POLARIS PKWY, SUITE 250, WESTERVILLE, OH 43082(614) 865-4800(614) 865-4900 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip Neal Simon M.d. NPPES

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

DR. PHILLIP NEAL SIMON M.D. (NPI 1972517522) is an individual internal medicine provider in Westerville, Ohio, licensed in Ohio (35084614) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2001).

NPPES Registry Identity

NPI1972517522
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILLIP NEAL SIMONCredential: M.D.
Location Address110 POLARIS PKWY, SUITE 250Westerville, OH 43082-8024
Mailing Address110 Polaris Pkwy, Suite 250Westerville, OH 43082-8024 · (614) 865-4800 · Fax (614) 865-4900
Fax(614) 865-4900
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2001
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1972517522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35084614
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 35084614 (OH)
110 POLARIS PKWY, Westerville, OH 43082

Other Identifiers 1

Medicaid2545419OH

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

Dr. Phillip Neal Simon M.d. 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 ID345273298
PECOS Enrollment IDI20050913000175
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 21

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
150 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
119 services119 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
112 services95 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
100 services87 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.
100 services61 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
87 services79 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers23 claims77 services$5.66 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 10

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

Dentist (General Practice)
110 POLARIS PKWY, #220
WESTERVILLE, OH 43082
Home Health
110 POLARIS PKWY, STE 325
WESTERVILLE, OH 43082
Physiological Laboratory
110 POLARIS PKWY, SUITE 230
WESTERVILLE, OH 43082
Health and Wellness Coach
110 POLARIS PKWY
WESTERVILLE, OH 43082
Physiological Laboratory
110 POLARIS PKWY, SUITE 230
WESTERVILLE, OH 43082
Home Health
110 POLARIS PKWY, SUITE 325
WESTERVILLE, OH 43082
Nurse Practitioner (Family)
110 POLARIS PKWY, SUITE 220
WESTERVILLE, OH 43082
Internal Medicine
110 POLARIS PKWY, STE 250
WESTERVILLE, OH 43082

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 Phillip Simon's NPI number?

The NPI number for Phillip Simon is 1972517522. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Phillip Simon located?

Phillip Simon practices at 110 Polaris Pkwy Suite 250, Westerville, OH 43082. The listed phone number is (614) 865-4800.

What is Phillip Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phillip Simon enrolled in Medicare?

Yes. Phillip 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 Phillip Simon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Phillip 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.

Is Phillip Simon affiliated with any hospitals?

According to CMS data, Phillip Simon is affiliated with Riverside Methodist Hospital, Grant Medical Center, Ohio State University State Health System and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Simon was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.