JOHN SIMONSON – Surgical Physician Assistant, NPI 1134595721

JOHN SIMONSON is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9108786 (FL). The NPI Number for JOHN SIMONSON is 1134595721

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN SIMONSON
NPI
1134595721
Phone
(386) 676-6000
Address
301 MEMORIAL MEDICAL PKWY
Enumeration Date
18 August 2015
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213631754
Graduation Year
2015 (11 years ago)
PAC ID
7012213390
Group Practice PAC ID
9234423971
Professional Enrollment ID
I20160311002323
Address ID
FL327711098SA309XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JOHN SIMONSON

  • 301 MEMORIAL MEDICAL PKWY

    DAYTONA BEACH, FL 321175167

    Phone: (386) 676-6000

    Type: Location

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Fax: (706) 221-3132

    Type: Mailing

  • 309 N MANGOUSTINE AVE UNIT G

    SANFORD, FL 327711098

    Phone: (321) 363-1754

    Fax: (321) 363-3336

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Smith+Nephew, Inc. ($22).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

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: 2016-03-11

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
I20160311002323IPhysician AssistantFLTBD

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 minutes5032$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

Loading plans...

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: 9234423971View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Physician AssistantFL
Physician AssistantGA
Orthopedic SurgeryGA
Physician AssistantGA
Orthopedic SurgeryGA
Physician AssistantGA
Orthopedic SurgeryGA
Osteopathic Manipulative MedicineGA
Orthopedic SurgeryGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up JOHN SIMONSON by NPI?
Use NPI 1134595721 when you need to reference JOHN SIMONSON in forms, claims, or directories.
Does this profile mean JOHN SIMONSON is currently active?
Yes — JOHN SIMONSON appears active in the national provider directory.
Does JOHN SIMONSON list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for JOHN SIMONSON. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN SIMONSON?
The page summarizes Daytona Beach, Florida for JOHN SIMONSON; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

595 N WILLIAMSON BLVD
NPI: 1700824638
PO BOX 746654
NPI: 1073609707
PO BOX 947381
NPI: 1407977093

ELIZABETH STOKLOSA (PA)

Surgical Physician Assistant
610, South Harbor City Boulevard, Melbourne, Brevard County, Florida, 32901, United States
NPI: 1437395324

KRISTIN WUNKER NELSON (P.A.)

Surgical Physician Assistant
1890 LPGA BLVD STE 250
NPI: 1225341191

MR. PAUL MICHAEL LEE GRENELLE (P.A.)

Medical Physician Assistant
PO BOX 864074
NPI: 1982901856

LAUREN MARIE RICE (PA-C)

Surgical Physician Assistant
305 MEMORIAL MEDICAL PKWY
NPI: 1972888360

SARAH ANN D'ALESSANDRO (P.A.)

Surgical Physician Assistant
1945 BAY RD
NPI: 1710263975

MR. DOMINIC JAMES CHIAPPETTA (RPA-C)

Surgical Physician Assistant
940 SWEETWATER LN
NPI: 1699024877