Active NPI 1689816266 Individual Practitioner Male Practitioner

Dr. Matthew John Simons , MD

Orthopaedic Surgery • Fresno, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Simons, MD is a certified Orthopaedic Surgery practicing in Fresno, CA. With approximately 17 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2009, Dr. Simons delivers high-quality medical care to the local community at 1630 E HERNDON AVE.

Dr. Simons maintains professional affiliations with Sierra Pacific Orthopaedic Center Medical Group, Inc., Community Foundation Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1630 E Herndon Ave

Fresno, CA 937203391

Telephone 5592565396

Fax 5594328364

Associated Practice Facility / Clinic

🏢 Sierra Pacific Surgery Center Llc Facility NPI 1942245725

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fresno, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.2 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

50 Specialists

Practicing in Fresno, CA (2527 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simons (17 Years) 17 Yrs

Fresno Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	15,120	38	$4.00	$0.55
J1010 Injection, methylprednisolone acetate, 1 mg	12,362	68	$1.02	$0.13
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	3,900	41	$31.00	$6.49
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg	2,445	76	$5.95	$0.01
J2795 Injection, ropivacaine hydrochloride, 1 mg	1,797	42	$1.00	$0.07
73562 X-ray of knee, 3 views	655	480	$130.00	$43.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	472	77	$13.00	$0.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	453	366	$405.00	$129.88
99213 Established patient office or other outpatient visit, typically 15 minutes	430	356	$285.00	$91.77
20610 Aspiration and/or injection of fluid from large joint	360	207	$254.92	$72.83
36415 Insertion of needle into vein for collection of blood sample	311	264	$21.00	$8.58
93000 Routine ekg using at least 12 leads including interpretation and report	259	236	$76.00	$14.58
73502 X-ray of hip, 2-3 views	189	151	$170.00	$50.48
27335 Incision of knee joint with removal of cartilage of front and back of knee	183	174	$3800.00	$382.12
27447 Replacement of knee joint, both sides of knee	182	173	$3952.00	$1252.96
20985 Computer-assisted surgery for muscle and bone procedure	179	170	$750.00	$138.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$521.00	$167.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	69	$176.00	$58.33
73721 Mri scan of leg joint without contrast	68	32	$387.50	$109.72
27130 Replacement of thigh bone and hip joint with prosthesis	56	55	$6500.00	$1250.25
27054 Removal of hip joint lining	56	55	$4040.00	$351.86
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	54	11	$410.00	$80.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$350.00	$113.66
J1040 Injection, methylprednisolone acetate, 80 mg	26	14	$32.00	$9.67
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	25	11	$612.00	$115.47
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	15	14	$312.00	$102.08
73522 X-ray of both hips, 3-4 views	15	14	$328.00	$57.16
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$163.00	$54.96
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	12	11	$9000.00	$1718.66
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$1387.00	$128.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	601	439	$130.00	$43.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	357	$405.00	$131.42
36415 Insertion of needle into vein for collection of blood sample	329	281	$21.00	$8.30
99213 Established patient office or other outpatient visit, typically 15 minutes	291	255	$285.00	$93.92
93000 Routine ekg using at least 12 leads including interpretation and report	256	240	$75.98	$14.96
27335 Incision of knee joint with removal of cartilage of front and back of knee	178	172	$3800.00	$391.22
20985 Computer-assisted surgery for muscle and bone procedure	173	167	$750.00	$144.01
27447 Replacement of knee joint, both sides of knee	172	166	$3952.00	$1293.43
73502 X-ray of hip, 2-3 views	154	133	$170.00	$50.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$521.00	$170.87
J1040 Injection, methylprednisolone acetate, 80 mg	120	62	$32.00	$11.87
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	96	19	$410.00	$83.21
20610 Aspiration and/or injection of fluid from large joint	87	77	$248.62	$72.90
73721 Mri scan of leg joint without contrast	57	27	$401.40	$114.05
27130 Replacement of thigh bone and hip joint with prosthesis	53	51	$6622.64	$1297.96
27054 Removal of hip joint lining	45	43	$4129.78	$354.86
72148 MRI scan of lower spinal canal	28	14	$340.00	$106.89
73522 X-ray of both hips, 3-4 views	22	20	$328.00	$58.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$1387.00	$131.95
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	15	15	$9000.00	$1682.25
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$163.00	$55.59
71046 X-ray of chest, 2 views	14	14	$107.00	$30.10
73560 X-ray of knee, 1-2 views	13	11	$110.00	$37.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	694	496	$130.00	$43.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	540	435	$405.00	$132.02
36415 Insertion of needle into vein for collection of blood sample	349	272	$21.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	265	233	$285.00	$93.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	260	17	$13.00	$1.16
93000 Routine ekg using at least 12 leads including interpretation and report	235	214	$75.95	$14.77
73502 X-ray of hip, 2-3 views	190	161	$170.00	$50.47
20985 Computer-assisted surgery for muscle and bone procedure	174	169	$754.31	$144.66
27335 Incision of knee joint with removal of cartilage of front and back of knee	173	169	$3843.93	$393.96
27447 Replacement of knee joint, both sides of knee	172	168	$3997.95	$1303.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$521.00	$171.01
20610 Aspiration and/or injection of fluid from large joint	132	105	$249.77	$73.37
J1040 Injection, methylprednisolone acetate, 80 mg	109	54	$32.00	$11.19
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	60	11	$410.00	$82.74
27130 Replacement of thigh bone and hip joint with prosthesis	58	54	$6500.00	$1294.26
73721 Mri scan of leg joint without contrast	55	30	$459.55	$123.93
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	45	30	$1595.00	$1033.06
27054 Removal of hip joint lining	42	39	$3963.05	$351.81
72148 MRI scan of lower spinal canal	32	17	$406.25	$114.11
72110 X-ray of lower and sacral spine, minimum of 4 views	25	25	$163.00	$55.13
73522 X-ray of both hips, 3-4 views	18	17	$328.00	$57.56
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	16	$1387.00	$130.88
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	16	15	$9000.00	$1765.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	616	431	$115.51	$43.67
99213 Established patient office or other outpatient visit, typically 15 minutes	337	262	$232.74	$94.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	239	$371.05	$135.66
36415 Insertion of needle into vein for collection of blood sample	257	214	$21.26	$3.00
73502 X-ray of hip, 2-3 views	205	157	$144.01	$50.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$494.56	$175.99
J1040 Injection, methylprednisolone acetate, 80 mg	187	62	$26.67	$10.52
93000 Routine ekg using at least 12 leads including interpretation and report	170	156	$72.47	$15.64
20985 Computer-assisted surgery for muscle and bone procedure	148	142	$890.20	$149.26
27335 Incision of knee joint with removal of cartilage of front and back of knee	142	137	$3826.76	$408.06
27447 Replacement of knee joint, both sides of knee	131	126	$6015.02	$1346.21
20610 Aspiration and/or injection of fluid from large joint	107	95	$242.47	$73.35
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	55	11	$330.00	$85.96
27130 Replacement of thigh bone and hip joint with prosthesis	45	43	$6500.00	$1320.79
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	44	33	$1595.00	$1219.00
27054 Removal of hip joint lining	35	33	$4040.00	$364.16
72110 X-ray of lower and sacral spine, minimum of 4 views	28	28	$153.50	$55.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$467.88	$190.64
73721 Mri scan of leg joint without contrast	17	16	$984.41	$168.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$995.67	$135.29
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	14	14	$9000.00	$1793.13
72148 MRI scan of lower spinal canal	14	14	$861.71	$149.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	515	349	$105.00	$41.78
99213 Established patient office or other outpatient visit, typically 15 minutes	417	323	$211.00	$78.76
36415 Insertion of needle into vein for collection of blood sample	234	188	$21.00	$2.98
73502 X-ray of hip, 2-3 views	175	148	$122.00	$48.03
93000 Routine ekg using at least 12 leads including interpretation and report	163	148	$70.00	$18.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$473.00	$168.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	118	$126.00	$47.15
20985 Computer-assisted surgery for muscle and bone procedure	114	106	$1000.00	$152.20
27447 Replacement of knee joint, both sides of knee	109	100	$7669.72	$1410.82
J1030 Injection, methylprednisolone acetate, 40 mg	108	28	$15.00	$6.06
20610 Aspiration and/or injection of fluid from large joint	83	67	$236.17	$71.72
27335 Incision of knee joint with removal of cartilage of front and back of knee	54	51	$3800.00	$404.47
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	51	36	$1595.00	$1072.35
J1040 Injection, methylprednisolone acetate, 80 mg	48	17	$20.00	$10.93
27130 Replacement of thigh bone and hip joint with prosthesis	40	40	$6662.50	$1436.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$310.00	$104.96
72110 X-ray of lower and sacral spine, minimum of 4 views	28	28	$144.00	$52.18
73522 X-ray of both hips, 3-4 views	26	25	$144.00	$56.00
71046 X-ray of chest, 2 views	19	17	$90.00	$22.55
73721 Mri scan of leg joint without contrast	12	12	$1180.00	$174.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	633	454	$126.00	$47.23
73562 X-ray of knee, 3 views	629	400	$105.00	$39.23
36415 Insertion of needle into vein for collection of blood sample	283	232	$21.00	$2.90
73502 X-ray of hip, 2-3 views	265	194	$122.00	$45.19
93000 Routine ekg using at least 12 leads including interpretation and report	211	195	$70.00	$17.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$473.00	$170.42
J1030 Injection, methylprednisolone acetate, 40 mg	138	45	$15.00	$6.32
27447 Replacement of knee joint, both sides of knee	124	118	$7600.00	$1362.22
20985 Computer-assisted surgery for muscle and bone procedure	121	115	$1000.00	$150.02
20610 Aspiration and/or injection of fluid from large joint	118	94	$236.59	$68.02
99213 Established patient office or other outpatient visit, typically 15 minutes	77	77	$211.00	$76.20
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	61	52	$1595.00	$945.62
71046 X-ray of chest, 2 views	61	59	$90.00	$21.93
27130 Replacement of thigh bone and hip joint with prosthesis	37	36	$6377.03	$1364.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$310.00	$99.36
73560 X-ray of knee, 1-2 views	33	27	$92.00	$32.17
73522 X-ray of both hips, 3-4 views	32	32	$144.00	$53.39
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	26	25	$9000.00	$1752.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$576.00	$207.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	663	449	$126.00	$45.45
73562 X-ray of knee, 3 views	640	388	$105.00	$37.18
73502 X-ray of hip, 2-3 views	363	256	$122.00	$42.24
36415 Insertion of needle into vein for collection of blood sample	183	169	$21.00	$2.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$473.00	$165.25
93000 Routine ekg using at least 12 leads including interpretation and report	148	143	$70.00	$17.17
20610 Aspiration and/or injection of fluid from large joint	136	87	$251.87	$70.21
99213 Established patient office or other outpatient visit, typically 15 minutes	134	133	$211.00	$74.11
71046 X-ray of chest, 2 views	126	125	$90.00	$20.73
J1040 Injection, methylprednisolone acetate, 80 mg	99	59	$20.00	$12.85
27447 Replacement of knee joint, both sides of knee	81	79	$7693.83	$1331.41
20985 Computer-assisted surgery for muscle and bone procedure	60	59	$1000.00	$148.22
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	12	$418.00	$145.26
27130 Replacement of thigh bone and hip joint with prosthesis	38	38	$6500.00	$1377.74
73522 X-ray of both hips, 3-4 views	36	35	$144.00	$51.41
73560 X-ray of knee, 1-2 views	28	25	$92.00	$29.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$576.00	$205.74
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	17	17	$9000.00	$1702.67
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$144.00	$51.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$310.00	$111.16
J1030 Injection, methylprednisolone acetate, 40 mg	14	13	$15.00	$6.66
72148 MRI scan of lower spinal canal	11	11	$1400.00	$139.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	669	425	$126.00	$45.28
73562 X-ray of knee, 3 views	602	338	$105.00	$37.43
73502 X-ray of hip, 2-3 views	397	255	$122.00	$42.42
36415 Insertion of needle into vein for collection of blood sample	195	165	$21.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	188	186	$211.00	$75.34
71020 X-ray of chest, 2 views, front and side	143	131	$82.00	$18.07
93000 Routine ekg using at least 12 leads including interpretation and report	143	130	$70.00	$17.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$473.00	$167.32
20610 Aspiration and/or injection of fluid from large joint	118	75	$241.63	$68.61
J1040 Injection, methylprednisolone acetate, 80 mg	98	66	$20.00	$10.84
73560 X-ray of knee, 1-2 views	64	44	$92.00	$31.04
27447 Replacement of knee joint, both sides of knee	53	52	$7600.00	$1362.68
73522 X-ray of both hips, 3-4 views	38	36	$144.00	$51.57
27130 Replacement of thigh bone and hip joint with prosthesis	31	31	$6500.00	$1383.56
73721 Mri scan of leg joint without contrast	25	23	$1180.00	$171.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$576.00	$206.04
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	22	21	$9000.00	$1793.19
20550 Injection into tendon or ligament	18	17	$171.00	$52.75
27125 Partial replacement of thigh bone at hip joint with prosthesis	17	17	$6500.00	$1157.73
27137 Revision of hip joint prosthesis	12	11	$6400.00	$1386.54
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$144.00	$51.48

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A135495

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Community Foundation Medical Group

1303 E Herndon Ave, Fresno, CA 937203309

Phone: 5594503000

Sierra Pacific Orthopaedic Center Medical Group, Inc.

1630 E Herndon Ave, Fresno, CA 937203391

Phone: 5592565200

Community Foundation Medical Group

1630 E Herndon Ave, Fresno, CA 937203391

Phone: 5592907051

Community Foundation Medical Group

2335 E Kashian Ln, Fresno, CA 937012234

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jennifer Steger , PA-C

Physician Assistant

NPI 1437699873

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 11, 2016

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203391 (Tel: 5592565396)

📍

Updated Business Mailing Address May 11, 2016

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203391 (Tel: 5592565396)

👤

Provider Name / Credentials Updated May 11, 2016

Recorded as MATTHEW SIMONS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2016

Orthopaedic Surgery (License #A135495 in CA)

🟢

Initial NPI Registration & Enumeration March 30, 2009

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: 1689816266

Entity Type:

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

Enumeration Date: March 30, 2009

Last Update: May 11, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1630 E Herndon Ave

Fresno, CA 937203391

Phone: 5592565396

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

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