DR. TIMOTHY M SIMON (M.D.) – Family Medicine Physician, NPI 1376523316

DR. TIMOTHY M SIMON (M.D.) is a healthcare provider. based in Monticello, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E2969 (AR). The NPI Number for DR. TIMOTHY M SIMON (M.D.) is 1376523316

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY M SIMON (M.D.)
NPI
1376523316
Phone
(870) 367-6867
Address
906 ROBERTS DR
Enumeration Date
17 January 2006
Last Update Date
1 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8703640000
Graduation Year
1998 (28 years ago)
PAC ID
9537194980
Group Practice PAC ID
8123927431
Professional Enrollment ID
I20051004000943
Address ID
AR716354537CR201XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. TIMOTHY M SIMON (M.D.)

  • Roberts Drive, Monticello, Drew County, Arkansas, 72655, United States

    MONTICELLO, AR 716555724

    Phone: (870) 367-6867

    Fax: (870) 367-1461

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,116.

Total Amount is formed as General ($1,116) + Research ($0) + Ownership ($0) = $1,116.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($244).

Total Amount

$1,116

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051004000943IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2,193810$0
36415Insertion of needle into vein for collection of blood sample1,302720$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1,241788$0
J0897Injection, denosumab, 1 mg1,14517$0
80061Blood test, lipids (cholesterol and triglycerides)591491$0
View full utilization report →

Insurance plans in this area (ZIP 71655)

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Provider's Procedures

DR. TIMOTHY M SIMON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR71010X-ray of chest, 1 view, front3930
FAMILY MEDICINEAR73630X-ray of foot, minimum of 3 views5141
FAMILY MEDICINEAR83036Hemoglobin A1C level510315
FAMILY MEDICINEAR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4441

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123927431View full group profile
NameSpecialtyState
Family PracticeAR
R H E U M A T O L O G YAR
Orthopedic SurgeryAR
N E P H R O L O G YAR
Vascular Surgery, General Surgery, Thoracic SurgeryAR
Family PracticeAR
Internal MedicineWI
Interventional Cardiology, Internal MedicineFL
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

How do payers reference DR. TIMOTHY M SIMON (M.D.)?
For DR. TIMOTHY M SIMON (M.D.), use NPI 1376523316 as the unique 10-digit identifier.
Is DR. TIMOTHY M SIMON (M.D.) still an active registrant?
DR. TIMOTHY M SIMON (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. TIMOTHY M SIMON (M.D.)?
DR. TIMOTHY M SIMON (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY M SIMON (M.D.) located near Monticello?
DR. TIMOTHY M SIMON (M.D.) currently maps to Monticello, Arkansas in this extract.
Does DR. TIMOTHY M SIMON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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