Deactivated NPI 1265433015 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Evan Simons , MD

Internal Medicine - Gastroenterology • Corbin, KY

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Simons has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005

NPI Deactivation Date March 21, 2006

Total Practice Duration ~19 Years of Practice (1987 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Simons, MD was a registered Internal Medicine - Gastroenterology in Corbin, KY. Prior to record deactivation on 2006-03-21, Dr. Simons completed approximately 19 years of clinical practice following graduation from University Of Louisville School Of Medicine in 1987.

Dr. Simons was affiliated with Cumberland Gi, Psc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included telephone medical discussion with physician, removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1710 Cumberland Falls Hwy

Corbin, KY 407012727

Telephone 6065286700

Fax 6065286513

Associated Practice Facility / Clinic

🏢 Cumberland Gi, Psc Facility NPI 1578557708

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Corbin, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +1.7 yrs vs City Avg

City Avg: 37.3 Yrs

State Avg: 30.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Corbin, KY (235 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simons (39 Years) 39 Yrs

Corbin Specialty Average (37.3 Years) 37.3 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
99441 Telephone medical discussion with physician, 5-10 minutes	111	51	$75.00	$51.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	97	97	$1085.00	$233.30
45380 Biopsy of large bowel using an endoscope	91	91	$760.00	$76.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	68	68	$600.00	$89.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	47	$1350.00	$189.40
43249 Balloon dilation of esophagus using an endoscope	25	19	$1450.00	$926.87
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$715.00	$169.69
99213 Established patient office or other outpatient visit, typically 15 minutes	22	14	$125.00	$83.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$715.00	$168.84
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	15	12	$1350.00	$159.41
43249 Balloon dilation of esophagus using an endoscope	14	14	$1000.00	$136.02
45380 Biopsy of large bowel using an endoscope	11	11	$1560.00	$185.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	125	62	$75.00	$51.04
45380 Biopsy of large bowel using an endoscope	107	106	$760.00	$93.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	92	91	$1085.00	$235.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	70	$600.00	$95.01
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$715.00	$171.38
99213 Established patient office or other outpatient visit, typically 15 minutes	34	22	$125.00	$77.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	15	$1350.00	$140.75
43249 Balloon dilation of esophagus using an endoscope	16	16	$962.50	$124.72
45380 Biopsy of large bowel using an endoscope	14	14	$1502.86	$214.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1885.00	$398.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	153	70	$75.00	$51.63
45380 Biopsy of large bowel using an endoscope	107	106	$760.00	$77.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	98	96	$1085.00	$241.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	86	$600.00	$98.45
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	54	46	$100.00	$35.14
99213 Established patient office or other outpatient visit, typically 15 minutes	28	20	$125.00	$78.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	21	$1350.00	$111.46
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$715.00	$174.97
43249 Balloon dilation of esophagus using an endoscope	19	12	$1410.53	$1009.90
45380 Biopsy of large bowel using an endoscope	19	19	$1560.00	$241.79
99442 Telephone medical discussion with physician, 11-20 minutes	17	12	$125.00	$84.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1885.00	$418.53
43249 Balloon dilation of esophagus using an endoscope	13	13	$700.00	$114.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	148	141	$601.01	$99.08
45380 Biopsy of large bowel using an endoscope	141	139	$760.00	$94.55
99441 Telephone medical discussion with physician, 5-10 minutes	118	69	$75.00	$52.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	115	114	$1085.00	$241.12
99442 Telephone medical discussion with physician, 11-20 minutes	63	46	$125.00	$85.54
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	43	38	$100.00	$51.31
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$741.67	$175.06
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$125.00	$80.78
43249 Balloon dilation of esophagus using an endoscope	24	23	$700.00	$131.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	16	$1350.00	$146.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	146	145	$600.00	$104.66
45380 Biopsy of large bowel using an endoscope	138	137	$760.00	$82.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	114	113	$1085.00	$250.49
99213 Established patient office or other outpatient visit, typically 15 minutes	70	61	$125.00	$69.18
99442 Telephone medical discussion with physician, 11-20 minutes	69	53	$125.00	$70.20
99441 Telephone medical discussion with physician, 5-10 minutes	64	48	$75.00	$42.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	26	$1350.00	$108.05
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$715.00	$178.98
99443 Telephone medical discussion with physician, 21-30 minutes	32	27	$150.00	$93.20
43249 Balloon dilation of esophagus using an endoscope	25	15	$1450.00	$966.25
43249 Balloon dilation of esophagus using an endoscope	17	17	$700.00	$90.44
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	15	14	$1303.33	$129.62
45380 Biopsy of large bowel using an endoscope	11	11	$1560.00	$227.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2704 Injection, propofol, 10 mg	790	20	$5.00	$0.10
99213 Established patient office or other outpatient visit, typically 15 minutes	253	135	$125.00	$69.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	245	242	$606.12	$91.49
45380 Biopsy of large bowel using an endoscope	219	219	$760.18	$89.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	192	192	$1085.00	$252.46
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	64	64	$150.00	$68.30
45378 Diagnostic exam of large bowel using a flexible endoscope	61	61	$715.00	$184.43
43249 Balloon dilation of esophagus using an endoscope	56	55	$700.00	$131.10
82270 Stool analysis for blood to screen for colon tumors	34	34	$15.00	$4.29
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	20	$1322.22	$89.09
43249 Balloon dilation of esophagus using an endoscope	23	16	$1450.00	$960.68
82272 Stool analysis for blood	16	16	$15.00	$4.15
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$715.00	$184.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2704 Injection, propofol, 10 mg	1,273	33	$5.00	$0.10
99213 Established patient office or other outpatient visit, typically 15 minutes	239	141	$125.00	$67.52
45380 Biopsy of large bowel using an endoscope	226	221	$767.08	$105.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	215	209	$603.49	$96.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	170	168	$1085.00	$250.23
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	59	59	$150.00	$63.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	39	$175.00	$101.16
82270 Stool analysis for blood to screen for colon tumors	53	53	$15.00	$4.29
45378 Diagnostic exam of large bowel using a flexible endoscope	48	48	$715.00	$180.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	31	$1350.00	$127.55
43249 Balloon dilation of esophagus using an endoscope	35	33	$700.00	$126.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$715.00	$181.25
43249 Balloon dilation of esophagus using an endoscope	18	13	$1450.00	$915.62
82272 Stool analysis for blood	14	14	$15.00	$4.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2704 Injection, propofol, 10 mg	1,155	34	$5.00	$0.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	292	273	$602.57	$83.02
45380 Biopsy of large bowel using an endoscope	275	273	$762.91	$89.07
99213 Established patient office or other outpatient visit, typically 15 minutes	257	146	$125.00	$65.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	203	200	$1085.00	$240.22
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	121	15	$5.00	$0.02
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	80	76	$650.00	$140.33
82270 Stool analysis for blood to screen for colon tumors	74	74	$15.00	$4.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	46	$175.00	$95.78
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	60	60	$150.00	$63.66
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$715.00	$172.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$90.00	$66.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	23	$1303.13	$88.28
J2250 Injection, midazolam hydrochloride, per 1 mg	26	12	$5.00	$0.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$250.00	$186.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	11	$65.00	$36.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$715.00	$172.98
43249 Balloon dilation of esophagus using an endoscope	19	12	$1450.00	$826.15
J3010 Injection, fentanyl citrate, 0.1 mg	17	16	$10.00	$0.32
45380 Biopsy of large bowel using an endoscope	11	11	$1487.27	$220.09

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License KY 25912

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64259120 (KY)

Hospital & Practice Group Affiliations

Cumberland Gi, Psc

1710 Cumberland Falls Hwy, Corbin, KY 407012727

Phone: 6065286700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Janice Hedayati , NP

Nurse Practitioner

NPI 1861648065

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location May 09, 2017

Registered at 1710 CUMBERLAND FALLS HWY, CORBIN, KY 407012727 (Tel: 6065286700)

📍

Updated Business Mailing Address May 09, 2017

Registered at 1710 CUMBERLAND FALLS HWY, CORBIN, KY 407012727 (Tel: 6065286700)

👤

Provider Name / Credentials Updated May 09, 2017

Recorded as MICHAEL SIMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Internal Medicine (License #25912 in KY)

📍

Updated Practice Location January 15, 2016

Registered at 1710 CUMBERLAND FALLS HWY, CORBIN, KY 407012727 (Tel: 6065286700)

📍

Updated Business Mailing Address January 15, 2016

Registered at 1710 CUMBERLAND FALLS HWY, CORBIN, KY 407012727 (Tel: 6065286700)

👤

Provider Name / Credentials Updated January 15, 2016

Recorded as MICHAEL SIMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2016

Internal Medicine (License #25912 in KY)

🔄

NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

⚠️

NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

🟢

Initial NPI Registration & Enumeration August 02, 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: 1265433015

Entity Type:

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

Enumeration Date: August 02, 2005

Last Update: May 09, 2017

Deactivation Date: March 21, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1710 Cumberland Falls Hwy

Corbin, KY 407012727

Phone: 6065286700

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.