Active NPI 1609824416 Individual Practitioner Male Practitioner

Dr. Timothy Simon , MD

Colon & Rectal Surgery • Decatur, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Simon, MD is a certified Colon & Rectal Surgery practicing in Decatur, GA. With approximately 33 years of clinical experience since graduating from Howard University College Of Medicine in 1993, Dr. Simon delivers high-quality medical care to the local community at 2801 N DECATUR RD.

Dr. Simon is affiliated with Northside Surgical Professional Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 N Decatur Rd
Suite 120

Decatur, GA 300335949

Telephone 7702774277

Fax 4042926305

Associated Practice Facility / Clinic

🏢 Atlanta Center For Medicine Ii Pc Facility NPI 1669471728

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Decatur, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Decatur, GA (81 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (33 Years) 33 Yrs

Decatur Specialty Average (33.0 Years) 33.0 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	135	80	$273.49	$89.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$339.00	$110.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$503.00	$165.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$171.00	$55.77
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$884.00	$207.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	79	$273.71	$89.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$170.88	$56.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$339.00	$111.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$503.46	$160.46
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$1089.93	$211.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	60	$170.00	$56.34
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$276.00	$89.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$338.15	$112.20
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$831.00	$181.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$507.00	$166.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	70	$251.77	$91.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$168.92	$56.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$335.45	$113.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$497.48	$169.02
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$831.00	$174.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$340.00	$130.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	72	$129.00	$45.92
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$213.00	$74.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$317.00	$104.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$484.00	$165.92
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$831.00	$177.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	95	$129.00	$45.18
99213 Established patient office or other outpatient visit, typically 15 minutes	93	74	$213.00	$73.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$484.00	$164.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$317.00	$106.04
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	21	21	$831.00	$156.14
46600 Diagnostic examination of the anus using an endoscope	16	16	$264.00	$96.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	81	$213.00	$73.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	71	$129.00	$44.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$484.00	$165.25
46600 Diagnostic examination of the anus using an endoscope	20	20	$264.00	$90.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$317.00	$104.56
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$831.00	$171.06
46900 Chemical destruction of anal growths	14	13	$720.00	$246.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$588.00	$204.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	208	117	$129.00	$43.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	12	$115.00	$39.25
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$213.00	$72.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$484.00	$158.43
46900 Chemical destruction of anal growths	25	20	$720.00	$239.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$317.00	$107.92
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	23	$831.00	$220.82
99221 Initial hospital inpatient care per day, typically 30 minutes	22	19	$296.00	$97.41

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License GA 040846

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00947086A (GA)

Commercial Insurance / Payer ID Cigna Hmo

4608346001

Commercial Insurance / Payer ID United Healthcare

1700465

Commercial Insurance / Payer ID Aetna Non Hmo

7375431

Commercial Insurance / Payer ID Kaiser

10556

Commercial Insurance / Payer ID Bcbs

52439381

Commercial Insurance / Payer ID Aetna Hmo

2969776

Hospital & Practice Group Affiliations

Northside Surgical Professional Services Llc

2801 N Decatur Rd, Decatur, GA 300335987

Phone: 7702774277

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. David Swift , MD

Colon & Rectal Surgery

NPI 1093210254

Doctor of Medicine (M.D.)

Dr. Jessica Lam , MD

Colon & Rectal Surgery

NPI 1114451382

Doctor of Medicine (M.D.)

Dr. David Meyer , MD

Colon & Rectal Surgery

NPI 1366805780

Doctor of Medicine (M.D.)

Dr. Cici Zhang , MD

Colon & Rectal Surgery

NPI 1528328077

Doctor of Medicine (M.D.)

Dr. Frances Hu , MD

Colon & Rectal Surgery

NPI 1689105306

Doctor of Medicine (M.D.)

Dr. David Armstrong , MD

Colon & Rectal Surgery

NPI 1720046089

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 January 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2017

Registered at 2801 N DECATUR RD, SUITE 120, DECATUR, GA 300335949 (Tel: 7702774277)

📍

Updated Business Mailing Address January 10, 2017

Registered at 2801 N DECATUR RD, SUITE 120, DECATUR, GA 300335949 (Tel: 7702774277)

👤

Provider Name / Credentials Updated January 10, 2017

Recorded as TIMOTHY SIMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2017

Colon & Rectal Surgery (License #040846 in GA)

✅

NPI Profile Active September 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2015

Registered at 5555 PEACHTREE DUNWOODY RD NE, SUITE 206, ATLANTA, GA 303421703 (Tel: 7702774277)

📍

Updated Business Mailing Address September 18, 2015

Registered at 2675 N. DECTUR ROAD, SUITE 307, DECATUR, GA 30033 (Tel: 7702774277)

👤

Provider Name / Credentials Updated September 18, 2015

Recorded as TIMOTHY SIMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2015

Colon & Rectal Surgery (License #040846 in GA)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Timothy Simon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609824416

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2801 N Decatur Rd, Suite 120

Decatur, GA 300335949

Phone: 7702774277

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.