Active NPI 1245648138 Individual Practitioner Male Practitioner

Dr. Jonathan Simon , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Simon, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Simon delivers high-quality medical care to the local community at 665 BAY ROAD, UNIT B.

Dr. Simon is affiliated with Bayhealth Medical Center, Inc 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, 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, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

665 Bay Road, Unit B

Dover, DE 19901

Telephone 3026085312

Fax 3026782552

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -10.9 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (13 Years) 13 Yrs

Dover Specialty Average (23.9 Years) 23.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	680	352	$257.94	$125.07
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	473	278	$26.12	$16.04
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	192	35	$72.92	$61.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$211.84	$124.97
G0008 Administration of influenza virus vaccine	88	87	$50.63	$31.89
90662 Influenza vaccine split virus, preservative free	85	84	$119.58	$80.54
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	58	58	$459.49	$290.18
G0009 Administration of pneumococcal vaccine	55	55	$50.13	$31.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$399.00	$164.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	25	$107.71	$51.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$262.50	$176.34
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$176.65	$89.19
90471 Administration of 1 vaccine	17	17	$50.65	$20.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$317.18	$161.56
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	16	16	$61.19	$37.71
83036 Hemoglobin A1C level	14	14	$19.00	$9.52
81003 Automated urinalysis test	13	12	$8.85	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$308.75	$162.14
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	11	$160.33	$68.88

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	646	339	$247.94	$127.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	205	33	$69.60	$62.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$204.45	$130.49
83036 Hemoglobin A1C level	101	72	$18.53	$9.43
90662 Influenza vaccine split virus, preservative free	89	88	$108.57	$70.93
G0008 Administration of influenza virus vaccine	89	88	$47.89	$30.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	44	$251.96	$180.51
81002 Urinalysis, manual test	36	23	$7.39	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$168.09	$87.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$103.67	$52.72
G0009 Administration of pneumococcal vaccine	22	22	$47.27	$30.63
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$435.45	$281.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$382.23	$167.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	780	12	$25.00	$21.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	615	364	$243.00	$130.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	164	55	$68.00	$64.74
83036 Hemoglobin A1C level	135	87	$18.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$200.00	$131.30
G0008 Administration of influenza virus vaccine	79	77	$46.00	$29.97
90662 Influenza vaccine split virus, preservative free	74	73	$86.00	$68.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$250.00	$185.45
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$165.00	$93.23
81002 Urinalysis, manual test	27	22	$7.00	$3.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	17	$46.00	$14.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$295.00	$171.93
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	15	14	$154.00	$136.65

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	654	337	$243.00	$133.16
83036 Hemoglobin A1C level	155	85	$18.00	$9.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$200.00	$136.19
99213 Established patient office or other outpatient visit, typically 15 minutes	118	100	$165.00	$93.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	97	29	$68.00	$42.03
G0008 Administration of influenza virus vaccine	52	52	$46.00	$17.33
90662 Influenza vaccine split virus, preservative free	46	46	$86.00	$64.98
81002 Urinalysis, manual test	34	28	$7.00	$3.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$295.00	$173.55
99442 Telephone medical discussion with physician, 11-20 minutes	26	23	$154.85	$94.46
G0009 Administration of pneumococcal vaccine	23	23	$46.00	$17.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$101.00	$54.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$46.00	$14.66
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$133.00	$125.06
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$219.00	$134.10

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	420	244	$239.00	$111.79
99443 Telephone medical discussion with physician, 21-30 minutes	119	98	$221.45	$112.14
99442 Telephone medical discussion with physician, 11-20 minutes	92	72	$147.41	$77.40
99213 Established patient office or other outpatient visit, typically 15 minutes	87	78	$162.47	$75.58
G0008 Administration of influenza virus vaccine	71	70	$45.83	$16.95
83036 Hemoglobin A1C level	66	47	$17.47	$9.61
90662 Influenza vaccine split virus, preservative free	62	62	$85.76	$60.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$198.30	$120.27
G0009 Administration of pneumococcal vaccine	23	23	$45.04	$17.07
81002 Urinalysis, manual test	16	16	$6.86	$3.28
90670 Pneumococcal vaccine for injection into muscle	14	14	$251.00	$220.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$99.93	$55.34

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	726	345	$230.94	$109.53
99213 Established patient office or other outpatient visit, typically 15 minutes	192	154	$156.84	$75.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	136	17	$64.24	$42.22
83036 Hemoglobin A1C level	135	72	$16.50	$10.44
G0008 Administration of influenza virus vaccine	86	85	$43.98	$16.68
90662 Influenza vaccine split virus, preservative free	77	76	$82.96	$54.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$191.00	$117.28
G0009 Administration of pneumococcal vaccine	36	36	$43.33	$16.88
81002 Urinalysis, manual test	35	33	$6.14	$3.41
90670 Pneumococcal vaccine for injection into muscle	25	25	$243.76	$210.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$227.36	$110.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	16	$96.00	$54.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$279.70	$173.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$349.81	$157.48
99496 Transitional care management services for problem of high complexity	16	15	$373.25	$235.02
93000 Routine ekg using at least 12 leads including interpretation and report	14	11	$36.71	$17.35
69209 Removal of impacted ear wax by washing	12	12	$22.25	$14.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$124.64	$111.93

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	586	279	$227.00	$109.18
99213 Established patient office or other outpatient visit, typically 15 minutes	288	201	$154.00	$74.20
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	154	22	$63.00	$42.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$187.50	$118.71
G0008 Administration of influenza virus vaccine	107	107	$42.00	$20.82
90662 Influenza vaccine split virus, preservative free	98	98	$44.90	$40.80
83036 Hemoglobin A1C level	84	56	$16.00	$11.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$92.00	$44.92
81002 Urinalysis, manual test	33	25	$6.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$227.00	$110.17
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$36.00	$17.35
G0009 Administration of pneumococcal vaccine	15	15	$42.00	$20.82
99496 Transitional care management services for problem of high complexity	13	13	$370.00	$236.56

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	22	20	$227.00	$109.16
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$154.00	$74.24

Medical Specialties & State Licenses

CMS Verified: 2024-10-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0012286

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Bayhealth Medical Center, Inc

665 Bay Rd Unit B, Dover, DE 19901

Phone: 3027446592

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Maryam Munir , MD

Internal Medicine - Infectious Disease

NPI 1093293631

Doctor of Medicine (M.D.)

John Marlon Lintan

Internal Medicine

NPI 1245961549

Dr. Matthew Reetz , DO

Family Medicine

NPI 1306028048

Doctor of Osteopathic Medicine (D.O.)

Dr. Prarthana Patkar , MD

Internal Medicine

NPI 1306548946

Doctor of Medicine (M.D.)

Beverly Maser , FNP

Nurse Practitioner - Family

NPI 1487932232

Family Nurse Practitioner

Dr. Hollis Barton , MD

Family Medicine

NPI 1578147682

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location October 17, 2024

Registered at 665 BAY ROAD, UNIT B, DOVER, DE 19901 (Tel: 3026085312)

📍

Updated Practice Location May 04, 2023

Registered at 1012 MATTLIND WAY, MILFORD, DE 199635300 (Tel: 3024240600)

📍

Updated Business Mailing Address May 04, 2023

Registered at 640 S STATE ST # MC3055, DOVER, DE 199013530 (Tel: 3024801688)

✅

NPI Profile Active January 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2018

Registered at 310 MULLET RUN, MILFORD, DE 199635371 (Tel: 3024240600)

📍

Updated Business Mailing Address January 30, 2018

Registered at 640 S. STATE STREET, POB 3RD FLOOR, DOVER, DE 19901 (Tel: 3024801688)

👤

Provider Name / Credentials Updated January 30, 2018

Recorded as JONATHAN SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Internal Medicine (License #C1-0012286 in DE)

✅

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2014

Registered at 205 S FRONT ST, SUITE 3C, BRADY MEDICAL ARTS BUILDING, HARRISBURG, PA 171041619 (Tel: 7172318506)

📍

Updated Business Mailing Address July 24, 2014

Registered at 205 S. FRONT STREET, SUITE 3C, PINNACLE HEALTH, C/O SANDY NEWMAN, HARRISBURG, PA 17104 (Tel: 7172318506)

👤

Provider Name / Credentials Updated July 24, 2014

Recorded as JONATHAN SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Internal Medicine (License #MT207413 in PA)

🟢

Initial NPI Registration & Enumeration July 24, 2014

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: 1245648138

Entity Type:

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

Enumeration Date: July 24, 2014

Last Update: October 17, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S State St # Mc3055

Dover, DE 199013530

Phone: 3026085312

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.