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Deactivated NPI 1649248253 Deactivated / Inactive NPI Male Practitioner

Dr. Pedro Simon , MD

Surgery - Vascular Surgery • Caribou, ME

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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. Pedro Simon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2006
NPI Deactivation Date May 11, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Pedro Simon, MD was a registered Surgery - Vascular Surgery practicing in Caribou, ME. Throughout an active medical career spanning 15 years, Dr. Simon provided care at the practice location at 22 MAIN ST until profile deactivation on 2021-05-11.

Practice Location & Contact Primary Location

Practice Address

22 Main St

Caribou, ME 047364163

Telephone 2074982595
Fax 2074982756
Associated Practice Facility / Clinic
🏢 Pines Health Services Facility NPI 1942277819

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Caribou, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Caribou, ME (36 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License ME 006977

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 11, 2021

Record deactivated on May 11, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 22 MAIN ST, CARIBOU, ME 047364163 (Tel: 2074982595)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 40, CARIBOU, ME 047360040 (Tel: 2074982350)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PEDRO SIMON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #006977 in ME)

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Initial NPI Registration & Enumeration March 09, 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: 1649248253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: July 08, 2007
Deactivation Date: May 11, 2021

Mailing Address

Po Box 40

Caribou, ME 047360040

Phone: 2074982350

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.