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ANDREW L. SIMON M.D.
NPI 1992767388
Urology in Brick, NJ

Active since April 03, 2006PECOS Enrolled
0/100
CMS Quality Rating
459 JACK MARTIN BLVD, SUITE 3, BRICK, NJ 08724(732) 840-0900(732) 840-0912 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew L. Simon M.d. NPPES

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

ANDREW L. SIMON M.D. (NPI 1992767388) is an individual urology provider in Brick, New Jersey, licensed in New Jersey (25MA05112300) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992767388
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameANDREW L. SIMONCredential: M.D.
Location Address459 JACK MARTIN BLVD, SUITE 3Brick, NJ 08724-7724
Mailing Address459 Jack Martin Blvd Ste 3Brick, NJ 08724-7724 · (732) 840-0900 · Fax (732) 840-0912
Phone(732) 840-0900
Fax(732) 840-0912
Sole ProprietorYes
Enumeration DateApril 3, 2006
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1992767388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NJ · 25MA05112300
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
459 JACK MARTIN BLVD, Brick, NJ 08724
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Other Identifiers 3

Medicare UPINE36485NJ
Medicare PIN595663V55NJ
Other7104406NJ · Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew L. Simon M.d. 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 11

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.
955 services568 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
432 services320 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.
112 services99 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
93 services43 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
89 services83 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%650 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%301 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%1,334 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%738 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%1,334 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,334 patients1/55-star benchmark: 59%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%150 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims1,770 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers27 claims3,300 services$1.55 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 14

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

ANDREW L. SIMON M.D., F.A.C.S, P.A.
Urology
459 JACK MARTIN BLVD, SUITE 3
BRICK, NJ 08724
Ocean County (732) 840-0900
PEDRO J ESCANDON M.D.
Internal Medicine (Interventional Cardiology)
459 JACK MARTIN BLVD, STE 4
BRICK, NJ 08724
Ocean County (732) 458-6200
SUSAN EILEEN BOGGS NP
Nurse Practitioner (Family)
459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724
Ocean County (732) 785-1000
COASTAL BACK AND PAIN INSTITUTE
Anesthesiology (Pain Medicine)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 747-7077
ROCKY MOUNTAIN HOLDINGS, LLC
Ambulance (Air Transport)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (888) 636-4438
TOTAL PATIENT CARE LLC
Family Medicine
459 JACK MARTIN BLVD, SUITE 1
BRICK, NJ 08724
Ocean County (732) 785-1000
THEODORE B. LYGAS M.D.
Surgery (Surgical Oncology)
459 JACK MARTIN BLVD, SUITE 5A
BRICK, NJ 08724
Ocean County (732) 458-4600
ASIM HAIDER GILANI MD
Family Medicine
459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724
Ocean County (732) 785-1000

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 Andrew Simon's NPI number?

The NPI number for Andrew Simon is 1992767388. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Andrew Simon located?

Andrew Simon practices at 459 Jack Martin Blvd Suite 3, Brick, NJ 08724. The listed phone number is (732) 840-0900.

What is Andrew Simon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Andrew Simon enrolled in Medicare?

Yes. Andrew Simon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Simon was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.