MS. KIMBERLY ANN SIMON (PA-C) – Physician Assistant, NPI 1154798189
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. KIMBERLY ANN SIMON (PA-C)
375 N WALL ST STE P420
KANKAKEE, IL 609013406
Phone: (815) 932-0911
Fax: (815) 932-0631
Type: Mailing
1900 SILVER CROSS BLVD
NEW LENOX, IL 604519509
Phone: (815) 300-7099
Fax: (815) 300-3567
Type: Mailing
1900 Silver Cross Blvd
New Lenox, IL 604519509
Phone: (708) 888-8287
Fax: (815) 300-3567
Type: Location
15234 S HARLEM AVE
ORLAND PARK, IL 604624330
Phone: (708) 888-8287
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $2,597.
Total Amount is formed as General ($2,597) + Research ($0) + Ownership ($0) = $2,597.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Axonics, Inc. ($473).
Total Amount
$2,597
General + Research + Ownership
Payments
92
Total payment records
General Amount
$2,597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $473 |
| Teleflex LLC | $391 |
| Sumitomo Pharma America, Inc. | $284 |
| Endo USA, Inc. | $213 |
| Janssen Biotech, Inc. | $121 |
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: 2015-12-02
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 |
|---|---|---|---|---|
| I20151202000296 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 51798 | Ultrasound measurement of bladder capacity after voiding | 13 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
| 81003 | Automated urinalysis test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| N E U R O L O G Y | NY |
Reviews
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