JOHN K SIMONSON (MD) – Family Medicine Physician, NPI 1124091921

JOHN K SIMONSON (MD) is a healthcare provider. based in Blair, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 19620 (NE). The NPI Number for JOHN K SIMONSON (MD) is 1124091921

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JOHN K SIMONSON (MD)
NPI
1124091921
Phone
(402) 426-4611
Address
812 N 22ND ST
Enumeration Date
10 February 2006
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023741585
Graduation Year
1993 (33 years ago)
PAC ID
5395766620
Group Practice PAC ID
0749190775
Professional Enrollment ID
I20051214000147
Address ID
NE680615095TE3519X32XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

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Provider Addresses for JOHN K SIMONSON (MD)

  • 812, 22nd Street, Westmont, Altoona, Blair County, Pennsylvania, 16601, United States

    BLAIR, NE 680081128

    Phone: (402) 426-4611

    Fax: (402) 426-4642

    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 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Abbott Laboratories ($24).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2005-12-14

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
I20051214000147IFamily PracticeNETBD

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
0134AAdm sarscv2 bvl 50mcg/.5ml a2525$0
View full utilization report →

Insurance plans in this area (ZIP 68008)

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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: 0749190775View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Nurse PractitionerNE
Physician AssistantNE
Internal Medicine, RheumatologyNE
-NE
Physician AssistantNE
-NE
Physician AssistantNE

Reviews

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Frequently asked questions

How do payers reference JOHN K SIMONSON (MD)?
For JOHN K SIMONSON (MD), use NPI 1124091921 as the unique 10-digit identifier.
Active or inactive — what applies to JOHN K SIMONSON (MD)?
You should see JOHN K SIMONSON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to JOHN K SIMONSON (MD)?
JOHN K SIMONSON (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is JOHN K SIMONSON (MD) registered?
Use Blair, Nebraska as the headline location for JOHN K SIMONSON (MD) here.
Can I trust this NPI listing for JOHN K SIMONSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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