THOMAS BULLOCK SIMON (DPM) – Podiatrist, NPI 1356832398
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for THOMAS BULLOCK SIMON (DPM)
6405 S 3000 E STE 300
HOLLADAY, UT 841216977
Phone: (801) 266-3113
Fax: (801) 931-2166
Type: Mailing
12121 Richmond Ave Ste 417
Houston, TX 770822439
Phone: (281) 597-1630
Fax: (281) 531-9600
Type: Location
836 S Angel St Ste 102
Layton, UT 840413687
Phone: (801) 544-6400
Fax: (801) 823-6595
Type: Location
417, Richmond Avenue, Houston, Harris County, Texas, 77002, United States
HOUSTON, TX 770822439
Phone: (281) 597-1630
Fax: (281) 531-9600
Type: Mailing
6405 S 3000 E Ste 201
Salt Lake City, UT 841216990
Phone: (801) 266-3113
Type: Location
4624 S HOLLADAY BLVD STE 201
HOLLADAY, UT 841177168
Phone: (801) 266-3113
Fax: (801) 931-2166
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Stryker Corporation ($206).
Total Amount
$333
General + Research + Ownership
Payments
15
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210728000632 | I | Podiatry | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 320 | 117 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 190 | 89 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 145 | 20 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 129 | 55 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 56 | 32 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | NM | |
| Family Practice, Pediatric Medicine | UT | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NM |
Reviews
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