DR. MICHAEL EVAN SIMONS (MD) – Gastroenterology Physician, NPI 1265433015
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
259 GASTROENTEROLOGY in KY
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Provider Addresses for DR. MICHAEL EVAN SIMONS (MD)
1710, Cumberland Falls Highway, Corbin, Whitley County, Kentucky, 40701, United States
CORBIN, KY 407012727
Phone: (606) 528-6700
Fax: (606) 528-6513
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 186 Open Payments records for all available years, with a total value of $2,647.
Total Amount is formed as General ($2,647) + Research ($0) + Ownership ($0) = $2,647.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: IRONWOOD PHARMACEUTICALS, INC ($695).
Total Amount
$2,647
General + Research + Ownership
Payments
186
Total payment records
General Amount
$2,647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-03-01
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 |
|---|---|---|---|---|
| I20110301000603 | I | Gastroenterology | KY | 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 |
|---|---|---|---|---|
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 125 | 62 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 121 | 120 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 103 | 102 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 93 | 85 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 34 | 34 | $0 |
Insurance plans in this area (ZIP 40701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY |
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