TODD SIMON (DO) – Gastroenterology Physician, NPI 1225073489
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for TODD SIMON (DO)
10115 Forest Hill Blvd Ste 200
Wellington, FL 334143104
Phone: (561) 964-8221
Fax: (561) 964-7393
Type: Location
500 University Blvd Ste 116
Jupiter, FL 334582774
Phone: (561) 964-8221
Fax: (561) 964-7393
Type: Location
5700, Lake Worth Road, Palm Beach Villas II, Greenacres, Palm Beach County, Florida, 33463, United States
#204
GREENACRES, FL 334634727
Phone: (561) 968-7968
Fax: (561) 964-4603
Type: Mailing
5401 S CONGRESS AVE STE 211
ATLANTIS, FL 334626637
Phone: (561) 964-8221
Fax: (561) 964-7393
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,644.
Total Amount is formed as General ($1,644) + Research ($0) + Ownership ($0) = $1,644.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($478).
Total Amount
$1,644
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,644
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-04-20
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 |
|---|---|---|---|---|
| I20100420000837 | I | Gastroenterology | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 302 | 228 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 169 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 139 | 139 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 98 | 22 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 83 | 83 | $0 |
Insurance plans in this area (ZIP 33414)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 18 | 18 |
Reviews
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