DR. STEPHEN M SIMONS (MD) – Sports Medicine (Family Medicine) Physician, NPI 1881776359
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for DR. STEPHEN M SIMONS (MD)
Cedar Street, South Bend, Saint Joseph County, Indiana, 46617, United States
STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-6214
Fax: (574) 335-6215
Type: Mailing
Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46635, United States
STE 137
MISHAWAKA, IN 46545
Phone: (574) 335-6214
Fax: (574) 335-6215
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: MY01 Inc. ($33).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MY01 Inc. | $33 |
| DePuy Synthes Sales Inc. | $17 |
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: 2011-01-18
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 |
|---|---|---|---|---|
| I20110118000091 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 56 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 46617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Hospitalist, Neurology | IN | |
| Otolaryngology, Sleep Medicine | WI | |
| Family Practice | IN | |
| Family Practice | IN | |
| Otolaryngology, Neurology | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Family Practice | IN |
Reviews
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