DR. SHIRA SIVAN SIMON (M.D., M.B.A.) – Ophthalmology Physician, NPI 1659632420

DR. SHIRA SIVAN SIMON (M.D., M.B.A.) is a healthcare provider. based in Chicago, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D., M.B.A.. They hold a License No. MD-43371 (IA). The NPI Number for DR. SHIRA SIVAN SIMON (M.D., M.B.A.) is 1659632420

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIRA SIVAN SIMON (M.D., M.B.A.)
NPI
1659632420
Phone
(312) 695-5858
Address
680 N LAKE SHORE DR
Enumeration Date
7 June 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
3126958150
Graduation Year
2012 (14 years ago)
PAC ID
1153626213
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20180329001564
Address ID
IL606112987CH259XXERIE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. SHIRA SIVAN SIMON (M.D., M.B.A.)

  • 680 N LAKE SHORE DR

    CHICAGO, IL 606114546

    Phone: (312) 695-5858

    Type: Mailing

  • 259 E ERIE ST

    CHICAGO, IL 606112987

    Phone: (312) 695-6868

    Type: Location

  • 200 Hawkins Dr

    Iowa City, IA 522421009

    Phone: (319) 356-4674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-03-13 • Largest payer in this snapshot: Horizon Therapeutics plc ($65).

Total Amount

$65

General + Research + Ownership

Payments

1

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Horizon Therapeutics plc$65
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: 2018-03-29

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
I20180329001564IOphthalmologyILTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes227155$0
92083Exam of visual field with extended testing191145$0
92133Imaging of optic nerve165116$0
99205New patient office or other outpatient visit, 60-74 minutes3434$0
92250Photography of the retina1717$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is DR. SHIRA SIVAN SIMON (M.D., M.B.A.)'s NPI number?
DR. SHIRA SIVAN SIMON (M.D., M.B.A.)'s NPI is 1659632420 — the number used across U.S. healthcare to identify this provider.
Would DR. SHIRA SIVAN SIMON (M.D., M.B.A.) appear as active to a payer?
You can treat DR. SHIRA SIVAN SIMON (M.D., M.B.A.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SHIRA SIVAN SIMON (M.D., M.B.A.)'s focus?
For DR. SHIRA SIVAN SIMON (M.D., M.B.A.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHIRA SIVAN SIMON (M.D., M.B.A.)?
Travel planning: use Chicago, Illinois as the reference point for DR. SHIRA SIVAN SIMON (M.D., M.B.A.), then confirm.
Can I trust this NPI listing for DR. SHIRA SIVAN SIMON (M.D., M.B.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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