DR. STUART J SIMON (M.D.) – Pulmonary Disease Physician, NPI 1225036122
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
644 CRITICAL CARE (INTENSIVISTS) in GA
Provider Addresses for DR. STUART J SIMON (M.D.)
3820 MEDICAL PARK DR
AUSTELL, GA 301061110
Phone: (770) 948-6041
Fax: (770) 739-5411
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 41 Open Payments records for all available years, with a total value of $905.
Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Grifols USA, LLC ($155).
Total Amount
$905
General + Research + Ownership
Payments
41
Total payment records
General Amount
$905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $155 |
| JAZZ PHARMACEUTICALS INC. | $116 |
| Insmed, Inc. | $102 |
| PFIZER INC. | $88 |
| GlaxoSmithKline, LLC. | $65 |
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: 2010-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100917000094 | I | Critical Care (Intensivists) | GA | 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 | 343 | 233 | $0 |
| 71046 | X-ray of chest, 2 views | 326 | 149 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 319 | 236 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 292 | 225 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 194 | 131 | $0 |
Insurance plans in this area (ZIP 30106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Surgical Oncology | WA | |
| R H E U M A T O L O G Y | GA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | GA |
Reviews
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