THRESA HELEN SIMON (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1003871989

THRESA HELEN SIMON (M.D.) is a healthcare provider. based in Petersburg, Virginia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 0101840405 (VA). The NPI Number for THRESA HELEN SIMON (M.D.) is 1003871989

Main info

Female
38 Years Of Experience
Name
THRESA HELEN SIMON (M.D.)
NPI
1003871989
Phone
(804) 861-0700
Address
269 MEDICAL PARK BLVD
Enumeration Date
20 April 2006
Last Update Date
2 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048610700
Graduation Year
1988 (38 years ago)
PAC ID
2264496827
Group Practice PAC ID
3476443797
Professional Enrollment ID
I20041115000583
Address ID
VA238059337PE269XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,033 PSYCHIATRY in VA

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Provider Addresses for THRESA HELEN SIMON (M.D.)

  • 269, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States

    PETERSBURG, VA 238059337

    Phone: (804) 861-0700

    Fax: (804) 863-4626

    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 19 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($101).

Total Amount

$405

General + Research + Ownership

Payments

19

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2004-11-15

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
I20041115000583IPsychiatryVATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12535$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8935$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8037$0
99213Established patient office or other outpatient visit, 20-29 minutes4313$0
99238Hospital discharge day management, 30 minutes or less1716$0
View full utilization report →

Insurance plans in this area (ZIP 23805)

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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: 3476443797View full group profile
NameSpecialtyState
Nurse PractitionerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YMO
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

How do payers reference THRESA HELEN SIMON (M.D.)?
For THRESA HELEN SIMON (M.D.), use NPI 1003871989 as the unique 10-digit identifier.
Would THRESA HELEN SIMON (M.D.) appear as active to a payer?
You can treat THRESA HELEN SIMON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with THRESA HELEN SIMON (M.D.)?
THRESA HELEN SIMON (M.D.)'s record emphasizes Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is THRESA HELEN SIMON (M.D.) located near Petersburg?
THRESA HELEN SIMON (M.D.) currently maps to Petersburg, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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