EDDY SIMON (MD) – Internal Medicine Physician, NPI 1851385058

EDDY SIMON (MD) is a healthcare provider. based in Summit, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA062638 (NJ). The NPI Number for EDDY SIMON (MD) is 1851385058

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
EDDY SIMON (MD)
NPI
1851385058
Phone
(973) 395-1550
Address
21 EDGEWOOD ROAD
Enumeration Date
2 September 2005
Last Update Date
20 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9733782266
Graduation Year
1988 (38 years ago)
PAC ID
5294721346
Group Practice PAC ID
7517950645
Professional Enrollment ID
I20040423000024
Address ID
NJ070403718MA2091XAVEX300
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

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for EDDY SIMON (MD)

  • 21, Edgewood Road, Overlook, Summit, Union County, New Jersey, 07901, United States

    SUMMIT, NJ 07901

    Phone: (973) 395-1550

    Fax: (973) 395-1556

    Type: Mailing

  • 310, Central Avenue, City of Orange, Orange, Essex County, New Jersey, 07050, United States

    SUITE 102

    EAST ORANGE, NJ 07018

    Phone: (973) 395-1550

    Fax: (973) 395-1556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $2,255.

Total Amount is formed as General ($2,255) + Research ($0) + Ownership ($0) = $2,255.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($480).

Total Amount

$2,255

General + Research + Ownership

Payments

120

Total payment records

General Amount

$2,255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-04-23

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
I20040423000024IInternal MedicineNJTBD

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 minutes260119$0
99214Established patient office or other outpatient visit, 30-39 minutes192107$0
82962Blood glucose (sugar) test performed by hand-held instrument13765$0
99497Advance care planning, first 30 minutes7575$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
View full utilization report →

Insurance plans in this area (ZIP 07901)

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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: 7517950645View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
-NJ
P O D I A T R YNY
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Nurse PractitionerNJ
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Internal MedicineNJ
Internal MedicineNJ
-NJ

Reviews

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Frequently asked questions

How do I look up EDDY SIMON (MD) by NPI?
Use NPI 1851385058 when you need to reference EDDY SIMON (MD) in forms, claims, or directories.
Is EDDY SIMON (MD) currently active in the NPI registry?
CMS-published data lists EDDY SIMON (MD) as an active registrant.
Can you summarize EDDY SIMON (MD)'s specialty in plain language?
Clinically, the directory lists EDDY SIMON (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place EDDY SIMON (MD)?
The snapshot lists Summit, New Jersey for EDDY SIMON (MD); download NPPES for the complete set.
Is EDDY SIMON (MD) a real provider?
This page reflects official NPPES data for NPI 1851385058. Always confirm identity and privileges with the practice and licensing boards.

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