MRS. SUSAN O SIMONTON (P.A.-C.) – Surgical Physician Assistant, NPI 1396822573

MRS. SUSAN O SIMONTON (P.A.-C.) is a healthcare provider. based in Ft lauderdale, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials P.A.-C.. They hold a License No. PA9103881 (FL). The NPI Number for MRS. SUSAN O SIMONTON (P.A.-C.) is 1396822573

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN O SIMONTON (P.A.-C.)
NPI
1396822573
Phone
(954) 527-7829
Address
2500 E LAS OLAS BLVD
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543517770
Graduation Year
2006 (20 years ago)
PAC ID
7517051899
Group Practice PAC ID
1850298365
Professional Enrollment ID
I20070917000788
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. SUSAN O SIMONTON (P.A.-C.)

  • 2500, East Las Olas Boulevard, Nurmi Isles, Fort Lauderdale, Broward County, Florida, 33301, United States

    #1504

    FT LAUDERDALE, FL 333011508

    Phone: (954) 527-7829

    Fax: (305) 558-0570

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-17

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
I20070917000788IPhysician 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
99212Established patient office or other outpatient visit, 10-19 minutes5755$0
73502X-ray of hip, 2-3 views3123$0
27130Replacement of thigh bone and hip joint with prosthesis2624$0
73562X-ray of knee, 3 views2322$0
View full utilization report →

Insurance plans in this area (ZIP 33301)

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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: 1850298365View full group profile
NameSpecialtyState
Thoracic Surgery, Cardiac SurgeryIN
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
General Practice, EndocrinologyFL
Orthopedic SurgeryFL
Anesthesiology, Pediatric MedicineFL
Anesthesiology AssistantFL
Pulmonary Disease, Internal MedicineFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for MRS. SUSAN O SIMONTON (P.A.-C.) in U.S. healthcare records?
The official identifier for MRS. SUSAN O SIMONTON (P.A.-C.) is NPI 1396822573.
Is MRS. SUSAN O SIMONTON (P.A.-C.) shown as active in public data?
Registry records indicate MRS. SUSAN O SIMONTON (P.A.-C.) maintains an active NPI.
What area of care is associated with MRS. SUSAN O SIMONTON (P.A.-C.)?
MRS. SUSAN O SIMONTON (P.A.-C.)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. SUSAN O SIMONTON (P.A.-C.) associated with Ft Lauderdale?
Public fields place MRS. SUSAN O SIMONTON (P.A.-C.) around Ft Lauderdale, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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