Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA M SIMONCINI MD
NPI 1972755544
Internal Medicine in Philadelphia, PA

Active since October 15, 2008PECOS Enrolled
87.82/100
CMS Quality Rating
1080 N DELAWARE AVE STE 800, PHILADELPHIA, PA 19125(267) 463-5800(215) 586-6038 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Mar 29, 2018, Mar 30, 2016 (3 updates tracked since 2016).

About Gina M Simoncini Md NPPES

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

GINA M SIMONCINI MD (NPI 1972755544) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436795) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972755544
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGINA M SIMONCINICredential: MD
Location Address1080 N DELAWARE AVE STE 800Philadelphia, PA 19125-4338
Mailing Address1080 N Delaware Ave Ste 800Philadelphia, PA 19125-4338 · (267) 463-5800 · Fax (215) 586-6038
Fax(215) 586-6038
Sole ProprietorNo
Enumeration DateOctober 15, 2008
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1972755544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD436795
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.
1080 N DELAWARE AVE STE 800, Philadelphia, PA 19125

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina M Simoncini 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Gina Simoncini reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
1080 N DELAWARE AVE STE 800
Philadelphia, PA 19125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1080 N DELAWARE AVE
Philadelphia, PA 19125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
Health Service
1211 CHESTNUT ST STE 405
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.3
Promoting Interoperability100
Improvement Activities40
Cost66.48

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Nurse Practitioner (Primary Care)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Nurse Practitioner (Family)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Physician Assistant (Medical)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Clinic/Center (Primary Care)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Pharmacist
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125

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 Gina Simoncini's NPI number?

The NPI number for Gina Simoncini is 1972755544. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Gina Simoncini located?

Gina Simoncini practices at 1080 N Delaware Ave Ste 800, Philadelphia, PA 19125. The listed phone number is (267) 463-5800.

What is Gina Simoncini's specialty?

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

Is Gina Simoncini enrolled in Medicare?

Yes. Gina Simoncini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gina Simoncini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Simoncini reassigns Medicare benefits to 4 organizations: Absolutecare Of Philadelphia, LLC (Philadelphia, PA), Greater Philadelphia Health Action, Inc. (Philadelphia, PA), Temple Faculty Practice Plan Inc (Philadelphia, PA) and Aids Healthcare Foundation (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Simoncini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Simoncini accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gina Simoncini 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 Gina Simoncini was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.