Active NPI 1215038138 Individual Practitioner Female Practitioner

Dr. Diane Marie Simeone , MD

Surgery • La Jolla, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Diane Simeone, MD is a certified Surgery practicing in La Jolla, CA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Simeone delivers high-quality medical care to the local community at 3855 HEALTH SCIENCES DR.

Dr. Simeone is affiliated with Regents Of The University Of California and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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

3855 Health Sciences Dr

La Jolla, CA 920934744

Telephone 8009268273

Associated Practice Facility / Clinic

🏢 Regents Of The University Of California Facility NPI 1952322935

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Jolla, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +16.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

44 Specialists

Practicing in La Jolla, CA (3346 Statewide)

Telehealth Adoption Rate

31.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simeone (38 Years) 38 Yrs

La Jolla Specialty Average (21.1 Years) 21.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$469.00	$76.57

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	254	213	$550.00	$111.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$1065.00	$207.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$997.00	$152.61
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$375.00	$74.38

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	198	167	$550.00	$141.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	64	64	$1065.00	$256.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$997.00	$195.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$745.00	$205.59

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	189	145	$550.00	$151.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$1065.00	$258.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$980.67	$194.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$745.00	$213.53

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	96	77	$550.00	$125.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	56	$1065.00	$239.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$745.00	$171.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$850.00	$181.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$710.00	$233.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$370.00	$124.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$570.00	$188.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$495.00	$166.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$710.00	$221.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$570.00	$182.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$370.00	$121.81
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$250.00	$69.78

Medical Specialties & State Licenses

CMS Verified: 2024-09-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301053273

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License CA G195633

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3169854 (MI)

Hospital & Practice Group Affiliations

Regents Of The University Of California

3855 Health Sciences Dr, La Jolla, CA 920931503

Phone: 8582496753

Secondary Practice Locations

160 E 34th St

New York, NY 100164744

Phone: 2127316150

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kyle Edmonds , MD, FAAHPM

Hospice, Inpatient

NPI 1003044728

Doctor of Medicine (M.D.), FAAHPM

Dr. Shawn Vedamani , MD

Anesthesiology

NPI 1003047531

Doctor of Medicine (M.D.)

Dale Trujillo , NP

Nurse Practitioner

NPI 1003104423

Nurse Practitioner

Kaylee Petersen , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003152364

Advanced Registered Nurse Practitioner

Irene Nevarez , NP

Nurse Practitioner

NPI 1003166646

Nurse Practitioner

Dr. Jesse Qualliotine , MD

Otolaryngology

NPI 1003239948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location September 11, 2024

Registered at 3855 HEALTH SCIENCES DR, LA JOLLA, CA 920934744 (Tel: 8009268273)

📍

Updated Business Mailing Address September 11, 2024

Registered at FILE 57326, LOS ANGELES, CA 900747326 (Tel: 8009268273)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2024

Surgery (License #G195633 in CA)

📍

Updated Practice Location March 21, 2019

Registered at 160 E 34TH ST, NEW YORK, NY 100164744 (Tel: 2127316150)

📍

Updated Business Mailing Address March 21, 2019

Registered at 160 E 34TH ST, NEW YORK, NY 100164744 (Tel: 2127316150)

✅

NPI Profile Active April 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2012

Registered at 1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 481095332 (Tel: 7349365738)

📍

Updated Business Mailing Address April 13, 2012

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤

Provider Name / Credentials Updated April 13, 2012

Recorded as DIANE SIMEONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2012

Surgery (License #4301053273 in MI)

🟢

Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215038138

Entity Type:

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

Enumeration Date: September 25, 2006

Last Update: September 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

File 57326

Los Angeles, CA 900747326

Phone: 8009268273

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.