IFEKAN-SHANGO SIMON
NPI 1992742837
Family Medicine in Spartanburg, SC

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303(864) 560-1558 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ifekan-shango Simon NPPES

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

IFEKAN-SHANGO SIMON (NPI 1992742837) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (22352) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1994).

NPPES Registry Identity

NPI1992742837
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIFEKAN-SHANGO SIMON
Location Address853 N CHURCH ST, SUITE 510Spartanburg, SC 29303-3098
Mailing Address853 N Church St, Suite 510Spartanburg, SC 29303-3077 · (864) 560-1558
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1994
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 20, 2013
NPI 1992742837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 22352
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
853 N CHURCH ST, Spartanburg, SC 29303

Other Identifiers 6

Medicare PIN080171889SC
Medicare PING98423SC
Medicare UPING98423SC
Medicare PING984233365SC
Medicaid223528SC
Medicare PINSC12096067SC

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

Ifekan-shango Simon 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 ID2668440355
PECOS Enrollment IDI20040921000292
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 8

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services25 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services31 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.
30 services30 patients
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.
29 services23 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.
29 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST
SPARTANBURG, SC 29303
Internal Medicine (Gastroenterology)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303
Pediatrics
853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303
Surgery (Surgical Critical Care)
853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303
Specialist
853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303

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 Ifekan-shango Simon's NPI number?

The NPI number for Ifekan-shango Simon is 1992742837. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Ifekan-shango Simon located?

Ifekan-shango Simon practices at 853 N Church St Suite 510, Spartanburg, SC 29303. The listed phone number is (864) 560-1558.

What is Ifekan-shango Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ifekan-shango Simon enrolled in Medicare?

Yes. Ifekan-shango 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 Ifekan-shango Simon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and First Choice Next list Ifekan-shango 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 Ifekan-shango Simon was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.