DR. JOHN ERNEST SIMON (M.D.) – Psychiatry Physician, NPI 1255374609

DR. JOHN ERNEST SIMON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 23781 (MN). The NPI Number for DR. JOHN ERNEST SIMON (M.D.) is 1255374609

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ERNEST SIMON (M.D.)
NPI
1255374609
Phone
(612) 333-9954
Address
701 25TH AVE S
Enumeration Date
14 June 2006
Last Update Date
19 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7634793555
Graduation Year
1976 (50 years ago)
PAC ID
7911972534
Group Practice PAC ID
1557516184
Professional Enrollment ID
I20060725000378
Address ID
MN553572120LO3675XRDXX300
Telehealth
Yes
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

746 PSYCHIATRY in MN

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Provider Addresses for DR. JOHN ERNEST SIMON (M.D.)

  • Park Plaza Building, 701, 25th Avenue South, Minneapolis, Hennepin County, Minnesota, 55454, United States

    #303

    MINNEAPOLIS, MN 554541513

    Phone: (612) 333-9954

    Fax: (612) 333-9969

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060725000378IPsychiatryMNTBD
I20070831000272IPsychiatryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes23145$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12922$0
Q3014Telehealth originating site facility fee5914$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 55454)

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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: 1557516184View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerIA
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
-MN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN ERNEST SIMON (M.D.) in U.S. healthcare records?
The official identifier for DR. JOHN ERNEST SIMON (M.D.) is NPI 1255374609.
Active or inactive — what applies to DR. JOHN ERNEST SIMON (M.D.)?
You should see DR. JOHN ERNEST SIMON (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JOHN ERNEST SIMON (M.D.)?
DR. JOHN ERNEST SIMON (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN ERNEST SIMON (M.D.) located near Minneapolis?
DR. JOHN ERNEST SIMON (M.D.) currently maps to Minneapolis, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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