MR. FRANK GOTHAM SIMON (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1336147065
Allergy & Immunology (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. FRANK GOTHAM SIMON (MD)
1404, Browns Lane, St. Matthews, Jefferson County, Kentucky, 40207, United States
SUITE B
LOUISVILLE, KY 402074655
Phone: (502) 895-5088
Fax: (502) 897-2426
Type: Location
PO BOX 6418
LOUISVILLE, KY 402060418
Phone: (502) 895-5088
Fax: (502) 897-2426
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $810.
Total Amount is formed as General ($810) + Research ($0) + Ownership ($0) = $810.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($250).
Total Amount
$810
General + Research + Ownership
Payments
16
Total payment records
General Amount
$810
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
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: 2010-12-07
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 |
|---|---|---|---|---|
| I20101207000543 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 270 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 39 | $0 |
Insurance plans in this area (ZIP 40207)
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