DR. RICHARD PAUL SIMONS (D.O.) – Cardiovascular Disease Physician, NPI 1861454308
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
139 CARDIOVASCULAR DISEASE (CARDIOLOGY) in DE
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Provider Addresses for DR. RICHARD PAUL SIMONS (D.O.)
Nanticoke Cardiology, 200, Federal Street, Seaford, Sussex County, Delaware, 19973, United States
SEAFORD, DE 199735764
Phone: (302) 629-9099
Fax: (302) 536-0053
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 135 Open Payments records for all available years, with a total value of $2,586.
Total Amount is formed as General ($2,586) + Research ($0) + Ownership ($0) = $2,586.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($431).
Total Amount
$2,586
General + Research + Ownership
Payments
135
Total payment records
General Amount
$2,586
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $431 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $253 |
| Medtronic, Inc. | $238 |
| Amgen Inc. | $158 |
| Merck Sharp & Dohme LLC | $111 |
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: 2010-06-28
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 |
|---|---|---|---|---|
| I20100628000640 | I | Cardiovascular Disease (Cardiology) | DE | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,890 | 1,068 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,561 | 1,137 | $0 |
| 85610 | Blood test, clotting time | 981 | 199 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 854 | 193 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 580 | 571 | $0 |
Insurance plans in this area (ZIP 19973)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | DE | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 102 | 102 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | DE | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Physician Assistant | MD | |
| - | VA | |
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Internal Medicine | MD | |
| - | MD | |
| Physician Assistant | MD | |
| Physician Assistant | NY | |
| Internal Medicine, Geriatric Medicine | NY |
Reviews
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