DR. ROLANDO G SIMEON (MD) – Surgery Physician, NPI 1457344293
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for DR. ROLANDO G SIMEON (MD)
801, South Ham Lane, Lodi, San Joaquin County, California, 95242, United States
SUITE E
LODI, CA 952427501
Phone: (209) 333-1441
Fax: (209) 333-1476
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 66 Open Payments records for all available years, with a total value of $2,371.
Total Amount is formed as General ($2,371) + Research ($0) + Ownership ($0) = $2,371.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($1,261).
Total Amount
$2,371
General + Research + Ownership
Payments
66
Total payment records
General Amount
$2,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $1,261 |
| Smith+Nephew, Inc. | $303 |
| BIOTISSUE HOLDINGS INC. | $281 |
| MIMEDX Group, Inc. | $245 |
| PolyMedics Innovations Inc. | $159 |
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: 2012-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120330000570 | I | General Surgery | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 162 | 28 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 113 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 54 | $0 |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 67 | 11 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 95242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Interventional Radiology | AZ | |
| Gastroenterology, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| - | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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