JAY S SIMONSON – Cardiovascular Disease Physician, NPI 1083691513

JAY S SIMONSON is a healthcare provider. based in St louis park, Minnesota. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CRITICAL CARE (INTENSIVISTS), CARDIAC ELECTROPHYSIOLOGY, INTERNAL MEDICINE. They hold a License No. 32757 (MN). The NPI Number for JAY S SIMONSON is 1083691513

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JAY S SIMONSON
NPI
1083691513
Phone
(952) 993-7169
Address
6465 WAYZATA BLVD
Enumeration Date
27 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529938900
Graduation Year
1982 (44 years ago)
PAC ID
9739088899
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20040802000891
Address ID
MN554462307PL4155X101X400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN

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Provider Addresses for JAY S SIMONSON

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-7169

    Fax: (952) 993-0300

    Type: Mailing

  • Excelsior Boulevard, Minikahda Vista, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    PARK NICOLLET CLINIC - HEART & VASCULAR CENTER

    ST LOUIS PARK, MN 554264702

    Phone: (952) 993-3246

    Fax: (952) 993-3010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $78,291.

Total Amount is formed as General ($78,291) + Research ($0) + Ownership ($0) = $78,291.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Abbott Laboratories ($69,875).

Total Amount

$78,291

General + Research + Ownership

Payments

49

Total payment records

General Amount

$78,291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2004-08-02

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
I20040802000891ICardiac ElectrophysiologyMNTBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days579483$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days458383$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days269266$0
93280Programming of dual lead pacemaker system162155$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes144131$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

JAY S SIMONSON performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYMN93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report186175
CARDIAC ELECTROPHYSIOLOGYMN93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report3632

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I use this page to confirm JAY S SIMONSON's NPI?
Yes. JAY S SIMONSON is listed with NPI 1083691513 in the public NPI dataset.
Does CMS list JAY S SIMONSON as active?
Yes — JAY S SIMONSON is active in the NPI listing used on this page.
What is JAY S SIMONSON best known for clinically?
Directory data describes JAY S SIMONSON with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does JAY S SIMONSON list a practice location?
Patients near St Louis Park, Minnesota may find JAY S SIMONSON in results; validate coverage separately.
Is the information about JAY S SIMONSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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