Active NPI 1467440107 Individual Practitioner Male Practitioner

Dr. Gary S. Simon , MD

Orthopaedic Surgery • Austell, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Simon, MD is a certified Orthopaedic Surgery practicing in Austell, GA. With approximately 38 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1988, Dr. Simon delivers high-quality medical care to the local community at 2041 MESA VALLEY WAY.

Dr. Simon maintains professional affiliations with Physiotherapy Associates Inc, Resurgens, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, triluron, for intra-articular injection, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2041 Mesa Valley Way
Suite 100

Austell, GA 301068157

Telephone 7709441100

Fax 7709446469

Associated Practice Facility / Clinic

🏢 East West Surgery Center Lp Facility NPI 1366444929

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Austell, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +7.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

17 Specialists

Practicing in Austell, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (38 Years) 38 Yrs

Austell Specialty Average (30.8 Years) 30.8 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
J1010 Injection, methylprednisolone acetate, 1 mg	34,181	279	$0.40	$0.13
J7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg	3,661	39	$37.50	$10.19
20610 Aspiration and/or injection of fluid from large joint	653	341	$424.44	$73.01
99213 Established patient office or other outpatient visit, typically 15 minutes	607	383	$213.00	$91.21
73030 X-ray of shoulder, minimum of 2 views	282	208	$162.00	$35.19
73562 X-ray of knee, 3 views	239	180	$165.69	$40.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	112	$329.00	$128.01
J1040 Injection, methylprednisolone acetate, 80 mg	122	93	$53.00	$9.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$333.00	$111.75
73221 Mri scan of arm joint without contrast	35	33	$2245.00	$145.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$134.00	$57.30
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$8126.00	$1479.14
73020 X-ray of shoulder, 1 view	24	24	$123.00	$21.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$518.00	$169.78
73721 Mri scan of leg joint without contrast	14	13	$2224.00	$145.65
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$6434.00	$1093.25
J1030 Injection, methylprednisolone acetate, 40 mg	13	13	$25.00	$6.33
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3957.00	$173.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg	2,764	32	$39.07	$9.86
20610 Aspiration and/or injection of fluid from large joint	610	351	$436.63	$72.34
J1040 Injection, methylprednisolone acetate, 80 mg	554	308	$53.00	$11.61
99213 Established patient office or other outpatient visit, typically 15 minutes	513	347	$213.00	$89.23
73030 X-ray of shoulder, minimum of 2 views	297	209	$162.00	$35.02
73562 X-ray of knee, 3 views	236	183	$165.70	$40.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$333.00	$112.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	70	$134.00	$54.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	74	$329.00	$127.39
J1030 Injection, methylprednisolone acetate, 40 mg	34	29	$25.00	$7.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$518.00	$163.26
73221 Mri scan of arm joint without contrast	21	20	$2245.00	$148.79
23472 Prosthetic repair of shoulder joint, total shoulder	19	18	$8126.00	$1467.86
73020 X-ray of shoulder, 1 view	17	15	$123.00	$22.05
72040 X-ray of upper spine, 2-3 views	11	11	$173.00	$36.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	31,248	38	$4.46	$1.99
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,500	14	$19.00	$10.69
20610 Aspiration and/or injection of fluid from large joint	648	368	$446.49	$73.70
J1040 Injection, methylprednisolone acetate, 80 mg	573	335	$53.00	$10.71
99213 Established patient office or other outpatient visit, typically 15 minutes	492	359	$213.00	$89.34
73030 X-ray of shoulder, minimum of 2 views	343	232	$162.94	$34.30
73562 X-ray of knee, 3 views	278	210	$181.62	$40.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	128	$134.00	$56.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$333.00	$110.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	70	$329.00	$127.94
23472 Prosthetic repair of shoulder joint, total shoulder	24	23	$8126.00	$1454.29
J1030 Injection, methylprednisolone acetate, 40 mg	22	20	$25.00	$6.16
73221 Mri scan of arm joint without contrast	18	18	$2245.00	$150.88
73721 Mri scan of leg joint without contrast	16	16	$2224.00	$155.02
73020 X-ray of shoulder, 1 view	15	15	$123.00	$20.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$518.00	$158.09
72040 X-ray of upper spine, 2-3 views	11	11	$173.00	$40.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	41,832	48	$4.46	$2.18
20610 Aspiration and/or injection of fluid from large joint	624	365	$452.29	$76.04
J1040 Injection, methylprednisolone acetate, 80 mg	543	326	$53.00	$10.56
99213 Established patient office or other outpatient visit, typically 15 minutes	478	357	$213.00	$91.80
73030 X-ray of shoulder, minimum of 2 views	326	240	$162.99	$33.02
73562 X-ray of knee, 3 views	294	216	$193.06	$39.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$333.00	$112.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	65	$329.00	$129.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$134.00	$57.35
73221 Mri scan of arm joint without contrast	30	30	$2245.00	$163.44
73020 X-ray of shoulder, 1 view	26	26	$123.00	$21.67
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$8126.00	$1421.10
J1030 Injection, methylprednisolone acetate, 40 mg	18	16	$25.00	$5.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$518.00	$170.84
73502 X-ray of hip, 2-3 views	13	13	$198.00	$46.65
73721 Mri scan of leg joint without contrast	13	13	$2224.00	$163.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	50,400	62	$4.46	$2.17
20610 Aspiration and/or injection of fluid from large joint	653	351	$404.49	$74.66
J1040 Injection, methylprednisolone acetate, 80 mg	524	306	$53.00	$11.40
99213 Established patient office or other outpatient visit, typically 15 minutes	485	373	$188.31	$75.59
73030 X-ray of shoulder, minimum of 2 views	261	188	$132.39	$31.69
73562 X-ray of knee, 3 views	227	176	$173.09	$38.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$300.70	$109.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	67	$128.16	$46.05
J1030 Injection, methylprednisolone acetate, 40 mg	31	29	$25.00	$5.71
73221 Mri scan of arm joint without contrast	26	24	$1775.38	$157.78
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$7609.77	$1445.73
73020 X-ray of shoulder, 1 view	19	19	$95.21	$20.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$294.11	$111.47
73721 Mri scan of leg joint without contrast	13	13	$1805.15	$164.53
73630 X-ray of foot, minimum of 3 views	13	13	$125.92	$27.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	799	421	$335.19	$70.72
99213 Established patient office or other outpatient visit, typically 15 minutes	661	444	$164.12	$72.13
J1040 Injection, methylprednisolone acetate, 80 mg	630	369	$53.00	$11.92
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	335	67	$314.00	$141.46
73030 X-ray of shoulder, minimum of 2 views	326	219	$96.46	$28.38
73562 X-ray of knee, 3 views	257	195	$124.12	$35.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	235	235	$244.17	$109.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	64	$98.48	$45.44
J1030 Injection, methylprednisolone acetate, 40 mg	54	43	$25.00	$5.73
73221 Mri scan of arm joint without contrast	30	30	$1135.00	$163.50
23472 Prosthetic repair of shoulder joint, total shoulder	29	28	$7179.57	$1508.75
73020 X-ray of shoulder, 1 view	28	27	$79.00	$23.29
73630 X-ray of foot, minimum of 3 views	24	23	$96.42	$29.35
73721 Mri scan of leg joint without contrast	22	22	$1135.00	$174.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$241.77	$109.57
73502 X-ray of hip, 2-3 views	13	13	$105.85	$38.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	683	371	$322.29	$69.00
99213 Established patient office or other outpatient visit, typically 15 minutes	581	378	$164.12	$72.46
J1040 Injection, methylprednisolone acetate, 80 mg	303	201	$53.00	$13.01
J1030 Injection, methylprednisolone acetate, 40 mg	300	218	$25.00	$6.47
73030 X-ray of shoulder, minimum of 2 views	298	210	$95.64	$27.73
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	242	55	$312.70	$143.77
73562 X-ray of knee, 3 views	209	175	$110.29	$35.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$244.17	$107.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	95	$241.77	$104.43
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$7179.57	$1499.51
73221 Mri scan of arm joint without contrast	25	24	$1135.00	$160.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$371.46	$165.45
73502 X-ray of hip, 2-3 views	21	20	$83.00	$36.41
20605 Aspiration and/or injection of medium joint or joint capsule	20	15	$229.90	$53.75
73721 Mri scan of leg joint without contrast	15	15	$1135.00	$169.37
73070 X-ray of elbow, 2 views	13	11	$85.00	$26.80
73110 X-ray of wrist, minimum of 3 views	12	11	$100.00	$34.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	770	402	$328.58	$69.37
J1030 Injection, methylprednisolone acetate, 40 mg	467	351	$25.00	$5.67
99213 Established patient office or other outpatient visit, typically 15 minutes	444	319	$164.12	$71.28
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	323	67	$313.03	$152.20
73030 X-ray of shoulder, minimum of 2 views	248	195	$95.00	$28.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$244.17	$107.47
73562 X-ray of knee, 3 views	195	163	$113.45	$38.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	141	$98.48	$43.27
J1040 Injection, methylprednisolone acetate, 80 mg	147	85	$53.00	$10.51
73721 Mri scan of leg joint without contrast	31	31	$1135.00	$165.77
73221 Mri scan of arm joint without contrast	30	30	$1135.00	$172.71
20605 Aspiration and/or injection of medium joint or joint capsule	30	23	$215.97	$47.40
23472 Prosthetic repair of shoulder joint, total shoulder	24	23	$7179.57	$1485.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$241.77	$100.81
72170 X-ray of pelvis, 1-2 views	16	16	$87.00	$29.90
72040 X-ray of upper spine, 2-3 views	16	16	$105.00	$32.88
73110 X-ray of wrist, minimum of 3 views	14	14	$100.00	$35.36
73630 X-ray of foot, minimum of 3 views	13	13	$89.00	$26.80
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$112.00	$31.82

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 040235

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000666311H (GA)

Medicaid State Provider ID

000666311I (GA)

Medicaid State Provider ID

000666311C (GA)

Medicaid State Provider ID

000666311G (GA)

Hospital & Practice Group Affiliations

Resurgens, Llc

2041 Mesa Valley Way, Austell, GA 301066856

Resurgens, Llc

5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 303425022

Phone: 4048479999

Resurgens, Llc

1285 Hembree Rd, Roswell, GA 300764995

Phone: 7704752710

Physiotherapy Associates Inc

655 Molly Ln, Woodstock, GA 301896519

Phone: 7705171080

Resurgens, Llc

270 Chastain Nwrd, Kennesaw, GA 301443012

Phone: 7704218005

Resurgens, Llc

1336 Hwy 54 W, Fayetteville, GA 302144574

Phone: 7704616142

Resurgens, Llc

5671 Peachtree Dunwoody Rd, Atlanta, GA 303425022

Physiotherapy Associates Inc

8509 Hospital Dr, Douglasville, GA 301342414

Phone: 7709475440

Resurgens, Llc

4441 Atlanta Rd Se, Smyrna, GA 300806442

Phone: 7709441100

Practice Associates & Co-Workers

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

32 Associated Practitioners

Dr. Richard Boe , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013327642

Doctor of Medicine (M.D.)

Jeffrey Hairston , PA-C

Physician Assistant - Surgical

NPI 1063625051

Physician Assistant (Certified)

Douglas Hernandez , PA

Physician Assistant

NPI 1114500642

Physician Assistant

Dr. Rafael Urrutia , MD

Orthopaedic Surgery

NPI 1124017397

Doctor of Medicine (M.D.)

Susan Kirby , NP-C

Nurse Practitioner

NPI 1154533875

Nurse Practitioner (Certified)

Nadia Wright

Physician Assistant

NPI 1194414250

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2009

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

📍

Updated Business Mailing Address February 05, 2009

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

👤

Provider Name / Credentials Updated February 05, 2009

Recorded as GARY SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2009

Orthopaedic Surgery (License #040235 in GA)

🟢

Initial NPI Registration & Enumeration October 06, 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: 1467440107

Entity Type:

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

Enumeration Date: October 06, 2005

Last Update: February 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2041 Mesa Valley Way, Suite 100

Austell, GA 301068157

Phone: 7709441100

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.