MATHEW J SIMON (DO) – Internal Medicine Physician, NPI 1528012424

MATHEW J SIMON (DO) is a healthcare provider. based in Milford, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 34008504 (OH). The NPI Number for MATHEW J SIMON (DO) is 1528012424

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MATHEW J SIMON (DO)
NPI
1528012424
Phone
(513) 248-8800
Address
5861 CINEMA DR
Enumeration Date
22 May 2006
Last Update Date
14 January 2008

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5132488800
Graduation Year
2003 (23 years ago)
PAC ID
3779586490
Group Practice PAC ID
0749222651
Professional Enrollment ID
I20060818000542
Address ID
OH451501489MI5861XDRXX300
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

7,201 INTERNAL MEDICINE in OH

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Provider Addresses for MATHEW J SIMON (DO)

  • 5861, Cinema Drive, Milford, Miami Township, Clermont County, Ohio, 45150, United States

    MILFORD, OH 451501489

    Phone: (513) 248-8800

    Fax: (513) 248-8177

    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 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

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: 2006-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1018 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20060818000542IInternal MedicineOH2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99214Established patient office or other outpatient visit, 30-39 minutes529289$0
99213Established patient office or other outpatient visit, 20-29 minutes227155$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit205205$0
G0008Administration of influenza virus vaccine8282$0
90662Influenza vaccine split virus, preservative free7979$0
View full utilization report →

Insurance plans in this area (ZIP 45150)

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Provider's Procedures

MATHEW J SIMON (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH81002Urinalysis, manual test3123

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: 0749222651View full group profile
NameSpecialtyState
-OH
Internal MedicineOH
-OH
Radiation OncologyOH
Geriatric Medicine, Family Practice, Internal MedicineOH
-OH
Internal MedicineOH
-OH
H O S P I T A L I S TOH
-OH

Reviews

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Frequently asked questions

What unique ID ties claims to MATHEW J SIMON (DO)?
NPI 1528012424 is assigned to MATHEW J SIMON (DO) under the national enumeration system.
Is MATHEW J SIMON (DO) active in the national directory?
MATHEW J SIMON (DO)'s public NPI profile is in an active state.
What does MATHEW J SIMON (DO) treat or focus on?
Patients typically see MATHEW J SIMON (DO) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MATHEW J SIMON (DO)'s primary listing?
We display Milford, Ohio because that is what the record indicates for MATHEW J SIMON (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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