VINCENT A SIMONETTI (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1811092778

VINCENT A SIMONETTI (MD) is a healthcare provider. based in Jackson, Michigan. specializing in THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301055837 (MI). The NPI Number for VINCENT A SIMONETTI (MD) is 1811092778

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT A SIMONETTI (MD)
NPI
1811092778
Phone
(517) 817-7605
Address
1100 E MICHIGAN AVE
Enumeration Date
14 September 2006
Last Update Date
5 November 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9898320900
Graduation Year
1990 (36 years ago)
PAC ID
4385635093
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20070914000043
Address ID
MI486402647MI2660XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

188 THORACIC SURGERY in MI

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Provider Addresses for VINCENT A SIMONETTI (MD)

  • East Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    SUITE 201

    JACKSON, MI 492011847

    Phone: (517) 817-7605

    Fax: (517) 817-7606

    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 6 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($142).

Total Amount

$226

General + Research + Ownership

Payments

6

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-09-14

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
I20070914000043IThoracic SurgeryMITBD

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
99204New patient office or other outpatient visit, 45-59 minutes1212$0
33508Harvest of vein using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

VINCENT A SIMONETTI (MD) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYMI33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine1616
THORACIC SURGERYMI33518Combined multiple vein and artery heart artery bypasses2626
THORACIC SURGERYMI33533Heart artery bypass to repair one artery4848

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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

What is the registry number for VINCENT A SIMONETTI (MD)?
The registry entry for VINCENT A SIMONETTI (MD) shows NPI 1811092778.
Does the public listing show VINCENT A SIMONETTI (MD) as active?
VINCENT A SIMONETTI (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits VINCENT A SIMONETTI (MD)?
NPPES ties VINCENT A SIMONETTI (MD) to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is VINCENT A SIMONETTI (MD) tied to Jackson, Michigan?
If you are local to Jackson, Michigan, VINCENT A SIMONETTI (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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