Active NPI 1528175940 Individual Practitioner Male Practitioner

Dr. Robert L Simons , MD

Neurological Surgery • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Simons, MD is a registered healthcare professional specializing in Neurological Surgery in Fresno, CA. Practice services are available at 1313 E HERNDON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1313 E Herndon Ave
Suite 101

Fresno, CA 937203306

Telephone 5594351017

Fax 5594355979

Associated Practice Facility / Clinic

🏢 Cardiovascular Associates-The Heart Group Medical Clinic Inc Facility NPI 1881637130

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Fresno, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

24 Specialists

Practicing in Fresno, CA (999 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	107	$406.17	$132.56
72110 X-ray of lower and sacral spine, minimum of 4 views	48	42	$163.00	$55.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$521.00	$172.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	36	22	$717.73	$233.93
76000 Imaging guidance for procedure, 60 minutes or less	31	26	$28.00	$15.38
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$285.00	$93.76
72100 X-ray of lower and sacral spine, 2-3 views	23	20	$127.00	$42.79
72148 MRI scan of lower spinal canal	19	12	$618.95	$136.40
72050 X-ray of upper spine, 4 or 5 views	17	11	$170.00	$57.29
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$4408.00	$1343.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$564.00	$185.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	143	$338.14	$135.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$459.76	$174.59
72100 X-ray of lower and sacral spine, 2-3 views	41	34	$95.98	$37.65
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$211.54	$95.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	37	28	$663.65	$228.42
72110 X-ray of lower and sacral spine, minimum of 4 views	36	35	$137.72	$51.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$452.28	$188.90
76000 Imaging guidance for procedure, 60 minutes or less	30	26	$85.33	$15.75
20931 Donor bone graft for spine surgery	17	17	$560.00	$110.11
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	17	17	$4656.76	$1527.92
72148 MRI scan of lower spinal canal	12	12	$1086.00	$153.34
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2188.73	$757.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	187	$277.00	$114.22
72100 X-ray of lower and sacral spine, 2-3 views	65	51	$67.00	$29.03
99213 Established patient office or other outpatient visit, typically 15 minutes	53	50	$189.00	$79.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$260.00	$172.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	25	$661.00	$262.70
72110 X-ray of lower and sacral spine, minimum of 4 views	25	25	$92.00	$38.51
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	23	23	$3929.00	$1577.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$2883.00	$848.93
73502 X-ray of hip, 2-3 views	18	18	$79.06	$37.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$170.00	$113.38
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$1932.00	$773.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	280	$277.00	$111.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$260.00	$169.41
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$189.00	$77.22
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	36	$661.00	$258.55
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	34	33	$3929.00	$1463.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$170.00	$111.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$2883.00	$849.26
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	14	12	$840.00	$328.33
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$1936.00	$764.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$370.00	$150.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	393	245	$277.00	$110.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$260.00	$168.52
99213 Established patient office or other outpatient visit, typically 15 minutes	89	77	$189.00	$73.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	58	40	$661.00	$247.91
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	29	$3929.00	$1455.47
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$2883.00	$735.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$504.00	$205.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$370.00	$149.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$170.00	$110.75
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1936.00	$757.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	243	$277.00	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$260.00	$168.34
99213 Established patient office or other outpatient visit, typically 15 minutes	76	72	$189.00	$75.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$370.00	$145.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	21	$661.00	$260.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	25	$2883.00	$782.43
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	16	$538.00	$211.74
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	17	16	$4067.00	$1485.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$504.00	$206.04
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$1932.00	$762.93

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License CA CA G31888

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Susan Araujo , NP, PA

Physician Assistant - Surgical

NPI 1972674174

Nurse Practitioner, Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2010

Registered at 1313 E HERNDON AVE, SUITE 101, FRESNO, CA 937203306 (Tel: 5594351017)

📍

Updated Business Mailing Address September 17, 2010

Registered at 1313 E HERNDON AVE, SUITE 101, FRESNO, CA 937203306 (Tel: 5594351017)

👤

Provider Name / Credentials Updated September 17, 2010

Recorded as ROBERT SIMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2010

Neurological Surgery (License #CA G31888 in CA)

🟢

Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528175940

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 23, 2006

Last Update: September 17, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1313 E Herndon Ave, Suite 101

Fresno, CA 937203306

Phone: 5594351017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.