Active NPI 1922082957 Individual Practitioner Male Practitioner

Dr. Sheldon Simon , DPM

Podiatrist • Owensboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Simon, DPM is a certified Podiatrist practicing in Owensboro, KY. With approximately 55 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 1971, Dr. Simon delivers high-quality medical care to the local community at 1915 W PARRISH AVE.

Dr. Simon accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, application of whirlpool therapy, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1915 W Parrish Ave
Ste 300

Owensboro, KY 423013519

Telephone 2706834844

Fax 2709268366

Associated Practice Facility / Clinic

🏢 Sheldon D. Simon Facility NPI 1568644151

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Owensboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +13.0 yrs vs City Avg

City Avg: 42.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Owensboro, KY (76 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (55 Years) 55 Yrs

Owensboro Specialty Average (42.0 Years) 42.0 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	281	91	$78.97	$77.50
97022 Application of whirlpool therapy	135	73	$40.00	$15.26
11721 Removal of fingernails or toenails, 6 or more nails	88	38	$60.00	$40.69
11719 Trimming of fingernails or toenails	82	44	$30.24	$10.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$117.62	$101.68
11056 Removal of noncancer thickened skin growth, 2-4 growths	58	32	$67.79	$63.98
11720 Removal of fingernails or toenails, 1-5 nails	54	36	$41.67	$29.73
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	44	20	$79.32	$71.08
73630 X-ray of foot, minimum of 3 views	17	14	$65.00	$30.14
20605 Aspiration and/or injection of medium joint or joint capsule	15	11	$75.00	$35.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	342	101	$70.00	$67.91
97022 Application of whirlpool therapy	228	95	$40.00	$15.01
11721 Removal of fingernails or toenails, 6 or more nails	93	43	$60.00	$40.75
11719 Trimming of fingernails or toenails	82	42	$30.00	$11.07
11056 Removal of noncancer thickened skin growth, 2-4 growths	60	32	$60.00	$59.12
11720 Removal of fingernails or toenails, 1-5 nails	48	28	$40.00	$29.46
73630 X-ray of foot, minimum of 3 views	39	33	$65.00	$30.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$130.00	$128.46
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	29	17	$80.00	$62.38
20550 Injection into tendon or ligament	27	17	$74.07	$36.09
29540 Placement of strapping to ankle or foot	27	16	$50.00	$21.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$110.00	$103.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$110.00	$108.46
11750 Permanent removal fingernail or toenail	13	13	$300.00	$130.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97022 Application of whirlpool therapy	349	113	$40.00	$15.10
99213 Established patient office or other outpatient visit, typically 15 minutes	275	99	$70.00	$65.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	86	$110.00	$107.71
11721 Removal of fingernails or toenails, 6 or more nails	125	61	$60.00	$40.84
11719 Trimming of fingernails or toenails	101	45	$30.00	$10.40
11056 Removal of noncancer thickened skin growth, 2-4 growths	78	45	$60.00	$58.22
11720 Removal of fingernails or toenails, 1-5 nails	72	36	$40.00	$29.96
73630 X-ray of foot, minimum of 3 views	63	45	$65.00	$30.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$130.00	$125.71
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	50	14	$84.80	$61.20
29540 Placement of strapping to ankle or foot	40	24	$51.25	$19.60
20550 Injection into tendon or ligament	40	22	$75.00	$38.36
11057 Removal of noncancer thickened skin growth, more than 4 growths	21	13	$62.00	$61.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97022 Application of whirlpool therapy	324	124	$40.00	$16.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	102	$110.00	$110.00
99213 Established patient office or other outpatient visit, typically 15 minutes	207	103	$70.00	$70.00
11721 Removal of fingernails or toenails, 6 or more nails	164	77	$60.00	$41.83
11719 Trimming of fingernails or toenails	94	43	$30.00	$10.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$130.00	$130.00
11056 Removal of noncancer thickened skin growth, 2-4 growths	68	41	$60.00	$59.12
11720 Removal of fingernails or toenails, 1-5 nails	61	36	$40.00	$30.82
73630 X-ray of foot, minimum of 3 views	44	35	$65.00	$30.50
20550 Injection into tendon or ligament	36	21	$75.00	$40.50
11057 Removal of noncancer thickened skin growth, more than 4 growths	29	18	$62.00	$62.00
29540 Placement of strapping to ankle or foot	29	17	$50.00	$19.72
29580 Strapping, unna boot	23	11	$80.00	$42.42
97035 Application of ultrasound, each 15 minutes	18	15	$25.00	$13.34
10160 Aspiration of abscess, blood accumulation, blister, or cyst	16	14	$150.00	$107.10
11055 Removal of single thickened skin growth	12	11	$50.00	$50.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	369	125	$70.00	$69.54
97022 Application of whirlpool therapy	277	120	$40.00	$16.68
11721 Removal of fingernails or toenails, 6 or more nails	176	82	$60.00	$42.71
11719 Trimming of fingernails or toenails	75	36	$30.00	$10.84
11720 Removal of fingernails or toenails, 1-5 nails	60	34	$40.00	$30.66
11056 Removal of noncancer thickened skin growth, 2-4 growths	58	41	$60.00	$59.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$110.00	$101.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$110.00	$103.00
11057 Removal of noncancer thickened skin growth, more than 4 growths	42	21	$62.00	$60.53
20550 Injection into tendon or ligament	32	20	$73.44	$36.75
11750 Permanent removal fingernail or toenail	32	18	$300.00	$135.88
73630 X-ray of foot, minimum of 3 views	29	24	$65.00	$29.63
29540 Placement of strapping to ankle or foot	23	15	$52.17	$21.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$130.00	$129.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	507	149	$70.00	$68.63
97022 Application of whirlpool therapy	291	125	$40.00	$16.31
11721 Removal of fingernails or toenails, 6 or more nails	187	83	$60.00	$42.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$110.00	$101.18
11719 Trimming of fingernails or toenails	82	46	$30.00	$10.64
11056 Removal of noncancer thickened skin growth, 2-4 growths	67	43	$60.00	$57.59
11720 Removal of fingernails or toenails, 1-5 nails	63	43	$40.00	$30.71
11057 Removal of noncancer thickened skin growth, more than 4 growths	55	31	$62.00	$58.89
73630 X-ray of foot, minimum of 3 views	51	34	$65.00	$25.76
20550 Injection into tendon or ligament	49	24	$73.47	$37.97
11750 Permanent removal fingernail or toenail	22	18	$300.00	$137.71
29540 Placement of strapping to ankle or foot	22	19	$50.00	$20.59
10160 Aspiration of abscess, blood accumulation, blister, or cyst	13	12	$150.00	$104.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	533	135	$70.00	$66.44
97022 Application of whirlpool therapy	314	118	$40.00	$16.99
11721 Removal of fingernails or toenails, 6 or more nails	177	87	$60.00	$41.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$110.00	$98.25
11056 Removal of noncancer thickened skin growth, 2-4 growths	81	45	$60.00	$52.68
20550 Injection into tendon or ligament	72	34	$75.00	$36.86
11719 Trimming of fingernails or toenails	66	36	$30.00	$11.27
29540 Placement of strapping to ankle or foot	49	33	$50.00	$19.32
11720 Removal of fingernails or toenails, 1-5 nails	31	23	$40.00	$29.81
73630 X-ray of foot, minimum of 3 views	29	22	$65.00	$25.87
11750 Permanent removal fingernail or toenail	20	18	$300.00	$135.24
73620 X-ray of foot, 2 views	20	17	$55.00	$23.13
11057 Removal of noncancer thickened skin growth, more than 4 growths	20	14	$62.00	$59.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	627	178	$70.00	$65.46
97022 Application of whirlpool therapy	263	123	$40.00	$20.64
11721 Removal of fingernails or toenails, 6 or more nails	145	76	$59.93	$40.16
11719 Trimming of fingernails or toenails	127	63	$30.00	$11.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$108.54	$96.00
11720 Removal of fingernails or toenails, 1-5 nails	72	47	$40.00	$28.54
11056 Removal of noncancer thickened skin growth, 2-4 growths	72	43	$60.00	$49.36
20550 Injection into tendon or ligament	56	34	$75.00	$40.49
73630 X-ray of foot, minimum of 3 views	50	38	$65.00	$25.16
29540 Placement of strapping to ankle or foot	31	21	$50.00	$19.51
97597 Removal of tissue from wound, 20.0 sq cm or less	21	11	$150.00	$62.53
11055 Removal of single thickened skin growth	20	18	$50.00	$37.75
73620 X-ray of foot, 2 views	19	15	$57.63	$22.44
11750 Permanent removal fingernail or toenail	16	15	$300.00	$136.49

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License KY 119

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Durable Medical Equipment & Medical Supplies - Customized Equipment

NUCC Taxonomy Code: 332BC3200X

Definition to come...

Podiatrist

NUCC Taxonomy Code: 213E00000X

State License IN 07000335A

Podiatrist - Sports Medicine

NUCC Taxonomy Code: 213ES0000X

State License KY 00119

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

80001191 (KY)

Medicaid State Provider ID

100027980A (IN)

Medicaid State Provider ID

45803004 (KY)

Medicaid State Provider ID

90270307 (KY)

Commercial Insurance / Payer ID Anthem

000000045182 (KY)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Kristen Gedney

Hearing Instrument Specialist

NPI 1700531233

Greg Thompson

Hearing Instrument Specialist

NPI 1841543790

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2015

Registered at 1915 W PARRISH AVE, STE 300, OWENSBORO, KY 423013519 (Tel: 2706834844)

📍

Updated Business Mailing Address October 06, 2015

Registered at 1915 W PARRISH AVE, STE 300, OWENSBORO, KY 423013519 (Tel: 2706834844)

👤

Provider Name / Credentials Updated October 06, 2015

Recorded as SHELDON SIMON, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Podiatrist (License #119 in KY)

🟢

Initial NPI Registration & Enumeration December 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: 1922082957

Entity Type:

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

Enumeration Date: December 02, 2005

Last Update: October 06, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1915 W Parrish Ave, Ste 300

Owensboro, KY 423013519

Phone: 2706834844

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.