STEPHANIE M. SIMONSON (MD) – Diagnostic Radiology Physician, NPI 1124177043

STEPHANIE M. SIMONSON (MD) is a healthcare provider. based in Spokane, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD60995156 (WA). The NPI Number for STEPHANIE M. SIMONSON (MD) is 1124177043

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE M. SIMONSON (MD)
NPI
1124177043
Phone
(509) 747-4455
Address
801 S STEVENS ST
Enumeration Date
9 January 2007
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097474455
Graduation Year
2002 (24 years ago)
PAC ID
6406935022
Group Practice PAC ID
6608763016
Professional Enrollment ID
I20191108002045
Address ID
WA992021381SP525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for STEPHANIE M. SIMONSON (MD)

  • Inland Imaging Business Center, 801, South Stevens Street, Cliff–Cannon, Spokane, Spokane County, Washington, 99201, United States

    SPOKANE, WA 992042654

    Phone: (509) 747-4455

    Fax: (509) 363-7064

    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: 2019-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191108001786IDiagnostic RadiologyMTTBD
I20191108002045IDiagnostic RadiologyWATBD

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
A9585Injection, gadobutrol, 0.1 ml83716$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml67595$0
73502X-ray of hip, 2-3 views196192$0
73030X-ray of shoulder, minimum of 2 views196175$0
73630X-ray of foot, minimum of 3 views181152$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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Provider's Procedures

STEPHANIE M. SIMONSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYPA71010X-ray of chest, 1 view, front656483
DIAGNOSTIC RADIOLOGYPA71250CT scan chest124120
DIAGNOSTIC RADIOLOGYPA73110X-ray of wrist, minimum of 3 views4241
DIAGNOSTIC RADIOLOGYPA73562X-ray of knee, 3 views2624
DIAGNOSTIC RADIOLOGYPA73630X-ray of foot, minimum of 3 views9487
DIAGNOSTIC RADIOLOGYPA74177CT scan of abdomen and pelvis with contrast136130

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: 6608763016View full group profile

Reviews

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Frequently asked questions

How do I look up STEPHANIE M. SIMONSON (MD) by NPI?
Use NPI 1124177043 when you need to reference STEPHANIE M. SIMONSON (MD) in forms, claims, or directories.
Is STEPHANIE M. SIMONSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHANIE M. SIMONSON (MD)?
The page reflects Diagnostic Radiology Physician for STEPHANIE M. SIMONSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE M. SIMONSON (MD)?
The snapshot lists Spokane, Washington for STEPHANIE M. SIMONSON (MD); download NPPES for the complete set.
What if Spokane, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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