ADAM CREED SIMON (PA-C) – Surgical Physician Assistant, NPI 1356626907
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for ADAM CREED SIMON (PA-C)
611 21ST AVE E
SEATTLE, WA 981124019
Phone:
Type: Mailing
801 BROADWAY
SUITE 800
SEATTLE, WA 981224396
Phone: (205) 215-2090
Type: Location
7122 58TH AVE NE
SEATTLE, WA 981156253
Phone: (720) 837-8875
Type: Mailing
125 130TH ST SE STE 100
EVERETT, WA 982086401
Phone: (425) 224-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Novo Nordisk Inc ($135).
Total Amount
$244
General + Research + Ownership
Payments
3
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $135 |
| Medtronic, Inc. | $68 |
| Teleflex LLC | $41 |
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: 2011-12-14
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 |
|---|---|---|---|---|
| I20111214001080 | I | Physician Assistant | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Plastic And Reconstructive Surgery | WA |
Reviews
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