Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861450330 Individual Practitioner Male Practitioner

Dr. Gerald Simon , MD

Internal Medicine • Countryside, IL

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Simon, MD is a certified Internal Medicine practicing in Countryside, IL. With approximately 44 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1982, Dr. Simon delivers high-quality medical care to the local community at 6438 JOLIET RD STE 203.

Dr. Simon is affiliated with Nani Internal Med Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

6438 Joliet Rd Ste 203

Countryside, IL 605254624

Telephone 7083525222
Fax 7083521576
Associated Practice Facility / Clinic
🏢 Nani Internal Med Llc Facility NPI 1740765700

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1982

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Countryside, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs Matches City Avg
City Avg: 44.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Countryside, IL (7544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (44 Years) 44 Yrs
Countryside Specialty Average (44.0 Years) 44.0 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
1,326 161 $131.28 $61.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
1,280 188 $166.66 $76.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
672 345 $269.07 $125.48
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
328 213 $31.92 $15.94
99239 Hospital discharge day management, more than 30 minutes
309 193 $236.95 $110.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
305 192 $279.90 $127.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
281 92 $156.50 $72.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
183 183 $277.02 $126.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
127 37 $216.25 $104.50
99213 Established patient office or other outpatient visit, typically 15 minutes
118 100 $189.86 $88.53
90662 Influenza vaccine split virus, preservative free
55 55 $150.81 $81.57
G0008 Administration of influenza virus vaccine
55 55 $66.50 $33.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
50 17 $29.69 $13.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
46 25 $158.10 $72.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $351.95 $165.15
99238 Hospital discharge day management, 30 minutes or less
27 27 $171.68 $78.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
18 15 $282.91 $129.45
81002 Urinalysis, manual test
17 16 $6.96 $3.41
93000 Routine ekg using at least 12 leads including interpretation and report
14 13 $30.80 $14.22

Medical Specialties & State Licenses

CMS Verified: 2023-02-01
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036066840

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.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License IL 36066840

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Hospital & Practice Group Affiliations

Nani Internal Med Llc

412 63rd St, Downers Grove, IL 605162000

Phone: 3317752783

Secondary Practice Locations

412 63rd St, Ste 100

Downers Grove, IL 605162000

Phone: 6307195470

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Wayne Mathy , MD

Internal Medicine

NPI 1164470423

Doctor of Medicine (M.D.)

Jacqueline Celmer , FNP

Nurse Practitioner - Family

NPI 1811245178

Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2023

Internal Medicine (License #36066840 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2022

Internal Medicine (License #036066840 in IL)

📍
Updated Practice Location November 06, 2020

Registered at 6438 JOLIET RD STE 203, COUNTRYSIDE, IL 605254624 (Tel: 7083525222)

📍
Updated Business Mailing Address November 06, 2020

Registered at 120 W 22ND ST STE 200, OAK BROOK, IL 605231563 (Tel: 6305755000)

NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2014

Registered at 412 63RD ST, STE 100, DOWNERS GROVE, IL 605162000 (Tel: 6307195470)

📍
Updated Business Mailing Address September 23, 2014

Registered at 412 63RD ST, STE 100, DOWNERS GROVE, IL 605162000 (Tel: 6307195470)

👤
Provider Name / Credentials Updated September 23, 2014

Recorded as GERALD SIMON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Internal Medicine (License #36066840 in IL)

🟢
Initial NPI Registration & Enumeration May 03, 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: 1861450330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: February 01, 2023
Sole Proprietor: No

Mailing Address

120 W 22nd St Ste 200

Oak Brook, IL 605231563

Phone: 6305735000

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.