Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700885761 Individual Practitioner Male Practitioner

Dr. Michael A Simon , MD

Urology • Miramar, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Simon, MD is a certified Urology practicing in Miramar, FL. With approximately 28 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1998, Dr. Simon delivers high-quality medical care to the local community at 1951 SW 172ND AVE.

Dr. Simon is affiliated with Genesiscare Usa Of Florida Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, ultrasound measurement of bladder capacity after voiding, established 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

1951 Sw 172nd Ave
Suite 300

Miramar, FL 330295593

Telephone 9544997696
Fax 9544997699
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Miramar, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs -2.7 yrs vs City Avg
City Avg: 30.7 Yrs
State Avg: 29.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Miramar, FL (1082 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (28 Years) 28 Yrs
Miramar Specialty Average (30.7 Years) 30.7 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
81003 Automated urinalysis test
762 283 $9.91 $2.18
51798 Ultrasound measurement of bladder capacity after voiding
717 274 $65.45 $11.81
99213 Established patient office or other outpatient visit, typically 15 minutes
479 232 $228.81 $95.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
300 174 $338.24 $133.27
51741 Electronic assessment of bladder emptying
275 158 $288.77 $13.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
117 50 $230.81 $79.48
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope
67 62 $2502.02 $799.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
65 65 $532.06 $177.43
76775 Limited ultrasound scan behind abdominal cavity
62 57 $367.95 $60.38
52000 Diagnostic exam of bladder and urethra using an endoscope
50 37 $716.00 $235.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
29 15 $136.80 $59.57
76872 Ultrasound scan of pelvic region through rectum
23 23 $461.42 $143.03
51797 Insertion of device into abdomen with pressure and urine flow rate study
23 22 $439.35 $195.56
50590 Shock wave crushing of kidney stones
22 17 $1988.05 $618.40
74420 Imaging of urinary tract
22 16 $62.24 $25.16
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope
22 18 $2080.80 $771.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope
19 13 $629.85 $148.80
55700 Biopsy of prostate gland
19 19 $776.93 $241.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
14 14 $444.43 $137.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
13 11 $325.89 $105.50
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies
13 12 $990.64 $377.87
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies
11 11 $1103.65 $400.06

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME89935

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

Medicaid State Provider ID
001110900 (FL)
Commercial Insurance / Payer ID Wellcare
1193472 (FL)
Commercial Insurance / Payer ID Nhp
773707 (FL)
Commercial Insurance / Payer ID Florida Healthcare Plus
P0003130 (FL)
Commercial Insurance / Payer ID Cigna
2116456 (FL)
Commercial Insurance / Payer ID Avmed
298813 (FL)
Commercial Insurance / Payer ID Aetna
7072759 (FL)
Commercial Insurance / Payer ID Preferred Medical Plan
M899351 (FL)
Commercial Insurance / Payer ID Railroad Medicare
P00956378 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
50359 (FL)

Hospital & Practice Group Affiliations

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Phone: 2397723202

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Genesiscare Usa Of Florida Llc

1951 Sw 172nd Ave, Miramar, FL 330295614

Phone: 9514997696

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1134128267

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2017

Registered at 1951 SW 172ND AVE, SUITE 300, MIRAMAR, FL 330295593 (Tel: 9544997696)

📍
Updated Business Mailing Address May 08, 2017

Registered at 2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤
Provider Name / Credentials Updated May 08, 2017

Recorded as MICHAEL SIMON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2017

Urology (License #ME89935 in FL)

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2016

Registered at 1951 SW 172ND AVE, SUITE 300, MIRAMAR, FL 330295593 (Tel: 9544997696)

📍
Updated Business Mailing Address May 06, 2016

Registered at 2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤
Provider Name / Credentials Updated May 06, 2016

Recorded as MICHAEL SIMON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Urology (License #ME89935 in FL)

🟢
Initial NPI Registration & Enumeration July 20, 2005

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: 1700885761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: May 08, 2017
Sole Proprietor: No

Mailing Address

2234 Colonial Blvd, Attn: Managed Care Dept.

Fort Myers, FL 339071412

Phone: 2399317342

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.