SIMON P ZADINA (M.D.) – Urology Physician, NPI 1124020110

SIMON P ZADINA (M.D.) is a healthcare provider. based in Olympia, Washington. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 33196 (MN). The NPI Number for SIMON P ZADINA (M.D.) is 1124020110

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
SIMON P ZADINA (M.D.)
NPI
1124020110
Phone
(360) 350-0281
Address
703 LILLY RD NE
Enumeration Date
10 August 2005
Last Update Date
18 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2539856134
Graduation Year
1979 (47 years ago)
PAC ID
4486548500
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20100303000247
Address ID
WA984993024LA11307SWXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

317 UROLOGY in WA

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Provider Addresses for SIMON P ZADINA (M.D.)

  • 703, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    SUITE 106

    OLYMPIA, WA 985065191

    Phone: (360) 350-0281

    Fax: (360) 918-8280

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-03

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
I20100303000247IUrologyWATBD

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
81000Manual urinalysis test with examination using microscope, non-automated626506$0
99215Established patient office or other outpatient visit, 40-54 minutes470308$0
99214Established patient office or other outpatient visit, 30-39 minutes368307$0
99213Established patient office or other outpatient visit, 20-29 minutes208192$0
99205New patient office or other outpatient visit, 60-74 minutes155155$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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Provider's Procedures

SIMON P ZADINA (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2626

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: 0547173866View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SIMON P ZADINA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124020110 for SIMON P ZADINA (M.D.).
Quick check: is SIMON P ZADINA (M.D.) active?
Public NPPES data shows SIMON P ZADINA (M.D.) with an active NPI status right now.
Which specialty label fits SIMON P ZADINA (M.D.)?
NPPES ties SIMON P ZADINA (M.D.) to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SIMON P ZADINA (M.D.)?
SIMON P ZADINA (M.D.) is associated with Olympia, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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