Active NPI 1841237955 Individual Practitioner Male Practitioner

Dr. Scott David Simon , MD

Urology • La Jolla, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Scott Simon, MD is a certified Urology practicing in La Jolla, CA. With approximately 30 years of clinical experience since graduating from Rush Medical College Of Rush University in 1996, Dr. Simon delivers high-quality medical care to the local community at 9834 GENESEE AVE.

Dr. Simon is affiliated with Scott David Simon Md Facs Medical Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include ultrasound measurement of bladder capacity after voiding, 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

9834 Genesee Ave
Suite 416

La Jolla, CA 920371223

Telephone 8584580099

Fax 8584297935

Associated Practice Facility / Clinic

🏢 Envision Eye, A Professional Medical Corporation Facility NPI 1447215975

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in La Jolla, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

17 Specialists

Practicing in La Jolla, CA (1624 Statewide)

Telehealth Adoption Rate

64.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (30 Years) 30 Yrs

La Jolla Specialty Average (25.8 Years) 25.8 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
51798 Ultrasound measurement of bladder capacity after voiding	385	276	$75.07	$13.05
99213 Established patient office or other outpatient visit, typically 15 minutes	307	229	$243.99	$96.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	202	$353.13	$134.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$529.47	$175.37
52000 Diagnostic exam of bladder and urethra using an endoscope	78	71	$708.84	$247.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	60	54	$38.00	$16.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$436.56	$132.41
51741 Electronic assessment of bladder emptying	36	36	$46.77	$7.83
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	36	35	$1194.06	$409.04
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	35	35	$222.48	$34.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$349.20	$116.75
51700 Simple bladder irrigation and/or instillation	25	17	$251.16	$84.59
74420 Imaging of urinary tract	25	19	$248.13	$24.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$149.13	$57.36
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	17	17	$4500.00	$1888.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$230.16	$80.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$1541.82	$156.65
99459 Pelvic exam	15	13	$44.54	$24.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$124.56	$50.01
51701 Insertion of temporary bladder tube	13	11	$147.18	$48.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	337	244	$75.07	$12.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	221	$353.13	$128.93
99213 Established patient office or other outpatient visit, typically 15 minutes	227	187	$243.99	$92.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$529.47	$176.74
52000 Diagnostic exam of bladder and urethra using an endoscope	73	64	$708.84	$249.61
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	41	39	$1194.06	$410.10
51741 Electronic assessment of bladder emptying	40	37	$46.77	$8.10
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	38	37	$222.48	$34.87
51700 Simple bladder irrigation and/or instillation	27	23	$251.16	$85.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	24	$436.56	$134.35
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	22	22	$4500.00	$1929.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$149.13	$60.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	14	$1541.82	$139.06
76872 Ultrasound scan of pelvic region through rectum	17	17	$535.05	$157.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$349.20	$119.84
74420 Imaging of urinary tract	16	16	$248.13	$25.38
55700 Biopsy of prostate gland	15	15	$827.55	$256.16
J1580 Injection, garamycin, gentamicin, up to 80 mg	12	12	$33.00	$2.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,899	13	$15.11	$6.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	227	$353.69	$127.47
51798 Ultrasound measurement of bladder capacity after voiding	312	233	$75.07	$12.09
99213 Established patient office or other outpatient visit, typically 15 minutes	234	186	$244.89	$92.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$529.47	$177.87
52000 Diagnostic exam of bladder and urethra using an endoscope	87	79	$708.84	$242.07
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	46	43	$1194.06	$416.47
51741 Electronic assessment of bladder emptying	46	44	$46.77	$7.59
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	45	43	$222.48	$34.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$149.13	$59.35
51700 Simple bladder irrigation and/or instillation	26	21	$251.16	$86.86
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	25	25	$4500.00	$2012.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$436.56	$140.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$349.20	$119.32
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	13	$1204.26	$448.19
51701 Insertion of temporary bladder tube	15	15	$147.18	$49.53
76872 Ultrasound scan of pelvic region through rectum	13	13	$535.05	$162.08
55700 Biopsy of prostate gland	11	11	$827.55	$259.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	307	231	$75.15	$11.80
99213 Established patient office or other outpatient visit, typically 15 minutes	260	198	$243.99	$94.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	185	$353.13	$132.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$529.47	$179.07
52000 Diagnostic exam of bladder and urethra using an endoscope	92	72	$708.84	$248.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$149.13	$59.74
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	37	37	$4500.00	$2126.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$349.20	$121.34
51700 Simple bladder irrigation and/or instillation	29	25	$251.16	$88.73
51702 Simple insertion of temporary bladder tube	29	11	$204.84	$71.87
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$1194.06	$417.99
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	26	26	$222.48	$37.87
51741 Electronic assessment of bladder emptying	26	26	$46.77	$7.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$436.56	$141.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	12	$230.16	$75.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1541.82	$142.35
74420 Imaging of urinary tract	14	12	$248.13	$26.40
76872 Ultrasound scan of pelvic region through rectum	14	14	$535.05	$159.81
51701 Insertion of temporary bladder tube	12	12	$147.18	$50.51
55700 Biopsy of prostate gland	11	11	$827.55	$266.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	470	297	$8.53	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	246	$296.16	$115.56
51798 Ultrasound measurement of bladder capacity after voiding	293	232	$42.13	$11.59
99213 Established patient office or other outpatient visit, typically 15 minutes	213	149	$204.76	$80.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$452.44	$175.10
52000 Diagnostic exam of bladder and urethra using an endoscope	105	80	$546.79	$231.87
51702 Simple insertion of temporary bladder tube	61	19	$175.54	$66.76
51700 Simple bladder irrigation and/or instillation	49	40	$206.82	$80.38
36415 Insertion of needle into vein for collection of blood sample	32	20	$7.35	$2.99
J1580 Injection, garamycin, gentamicin, up to 80 mg	32	31	$4.35	$1.95
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	31	31	$4312.72	$1803.23
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	30	26	$188.75	$79.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$125.38	$49.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$188.46	$76.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$552.21	$212.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$1314.90	$473.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$395.18	$145.02
76000 Imaging guidance for procedure, 60 minutes or less	18	14	$122.90	$45.90
51701 Insertion of temporary bladder tube	17	16	$130.56	$48.83
74420 Imaging of urinary tract	16	15	$65.83	$29.31
76872 Ultrasound scan of pelvic region through rectum	15	14	$351.74	$161.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$302.24	$115.63
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$748.64	$318.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	782	420	$22.24	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	209	$334.43	$114.57
51798 Ultrasound measurement of bladder capacity after voiding	211	171	$65.21	$14.09
52000 Diagnostic exam of bladder and urethra using an endoscope	124	96	$625.19	$197.05
99213 Established patient office or other outpatient visit, typically 15 minutes	124	94	$235.59	$77.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$505.83	$171.64
J1580 Injection, garamycin, gentamicin, up to 80 mg	58	40	$23.22	$1.70
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	50	39	$439.55	$77.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$211.46	$74.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$569.70	$207.74
76872 Ultrasound scan of pelvic region through rectum	21	20	$326.95	$140.63
36415 Insertion of needle into vein for collection of blood sample	21	15	$21.64	$2.94
55700 Biopsy of prostate gland	21	20	$693.01	$258.62
76000 Imaging guidance for procedure, 60 minutes or less	20	15	$164.58	$49.20
51700 Simple bladder irrigation and/or instillation	19	17	$262.44	$76.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	17	$197.09	$60.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$1532.35	$493.46
74420 Imaging of urinary tract	12	11	$95.42	$34.24
53852 Destruction of prostate tissue through bladder canal (urethra)	11	11	$6150.00	$1632.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	781	428	$25.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	378	256	$75.00	$17.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	196	$350.00	$112.57
99213 Established patient office or other outpatient visit, typically 15 minutes	172	129	$250.00	$76.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$525.00	$170.85
52000 Diagnostic exam of bladder and urethra using an endoscope	110	92	$650.00	$175.68
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	47	$25.00	$1.47
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	64	48	$450.00	$79.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	18	$225.00	$74.61
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	20	$1575.00	$120.45
51700 Simple bladder irrigation and/or instillation	28	24	$275.00	$79.59
53899 Other procedure on urinary system	22	22	$4972.73	$1800.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$582.89	$207.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$350.00	$112.34
74420 Imaging of urinary tract	15	11	$125.00	$18.31
76872 Ultrasound scan of pelvic region through rectum	14	14	$325.00	$104.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$150.00	$46.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$415.38	$139.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	668	401	$25.00	$3.42
51798 Ultrasound measurement of bladder capacity after voiding	295	221	$75.00	$20.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	170	$350.00	$111.21
99213 Established patient office or other outpatient visit, typically 15 minutes	209	162	$250.00	$75.90
52000 Diagnostic exam of bladder and urethra using an endoscope	82	67	$650.00	$173.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$525.00	$168.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	27	$225.00	$73.72
J1580 Injection, garamycin, gentamicin, up to 80 mg	52	20	$25.00	$1.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$350.00	$111.62
51700 Simple bladder irrigation and/or instillation	32	21	$275.00	$77.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$150.00	$45.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$419.57	$139.25
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	22	11	$450.00	$73.77
74420 Imaging of urinary tract	20	18	$125.00	$18.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$1575.00	$119.94
76872 Ultrasound scan of pelvic region through rectum	14	14	$325.00	$101.80
36415 Insertion of needle into vein for collection of blood sample	12	12	$25.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$650.00	$87.25

Medical Specialties & State Licenses

CMS Verified: 2020-01-27

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA A89550

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan

GI563A (CA)

Commercial Insurance / Payer ID Medicare Ptan

CB228657 (CA)

Hospital & Practice Group Affiliations

Scott David Simon Md Facs Medical Corporation

9834 Genesee Ave, La Jolla, CA 920371264

Phone: 8584580099

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Shilpa Argade , MD

Urology

NPI 1639664592

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 27, 2020

Registered at PO BOX 25100, FRESNO, CA 937295100 (Tel: 5593261222)

✅

NPI Profile Active July 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2015

Registered at 9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 920371223 (Tel: 8584580099)

📍

Updated Business Mailing Address July 01, 2015

Registered at 9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 920371223 (Tel: 8584580099)

👤

Provider Name / Credentials Updated July 01, 2015

Recorded as SCOTT SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2015

Urology (License #A89550 in CA)

🟢

Initial NPI Registration & Enumeration May 31, 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: 1841237955

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: January 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 25100

Fresno, CA 937295100

Phone: 5593261222

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.