Dr. Michael Simon , MD
Internal Medicine - Pulmonary Disease • Fall River, MA
Professional Overview & Biography Verified Profile Summary
Dr. Michael Simon, MD is a certified Internal Medicine - Pulmonary Disease practicing in Fall River, MA. With approximately 10 years of clinical experience since graduating from George Washington University School Of Medicine in 2016, Dr. Simon delivers high-quality medical care to the local community at 1030 PRESIDENT AVE STE 210.
Dr. Simon is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include established patient outpatient office visit, critical care, first, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1030 President Ave Ste 210
Fall River, MA 027205928
Medicare Profile & Education
George Washington University School Of Medicine
2016
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine - Pulmonary Disease in Fall River, MA
Practicing in Fall River, MA (585 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
171 | 132 | $554.35 | $179.80 |
|
99291
Critical care, first 30-74 minutes
|
143 | 69 | $711.34 | $208.93 |
|
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
|
112 | 88 | $49.57 | $16.37 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
102 | 102 | $678.50 | $221.31 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
85 | 74 | $398.02 | $129.59 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
58 | 58 | $641.74 | $171.32 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
57 | 57 | $192.54 | $40.06 |
|
94726
Determination of lung volumes using plethysmography
|
53 | 53 | $174.32 | $57.59 |
|
94729
Test to examine how well the lungs exchange gases
|
53 | 53 | $185.32 | $58.47 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
37 | 26 | $359.65 | $117.26 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
29 | 29 | $41.55 | $10.02 |
|
94729
Test to examine how well the lungs exchange gases
|
26 | 26 | $29.31 | $8.68 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
26 | 17 | $242.54 | $77.84 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
18 | 18 | $520.00 | $168.33 |
|
94726
Determination of lung volumes using plethysmography
|
14 | 14 | $39.71 | $11.70 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
12 | 12 | $438.25 | $129.10 |
|
94727
Determination of lung volumes using gas dilution or washout
|
12 | 12 | $39.50 | $11.70 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
12 | 12 | $279.83 | $92.13 |
Medical Specialties & State Licenses
CMS Verified: 2025-01-22NUCC Taxonomy Code: 207RP1001X
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
NUCC Taxonomy Code: 207RP1001X
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Hospital & Practice Group Affiliations
Southcoast Physicians Group Inc
101 Page St, New Bedford, MA 027403464
Phone: 5089735919
Secondary Practice Locations
593 Eddy St
Providence, RI 029034923
Phone: 4014448410
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1030 PRESIDENT AVE STE 210, FALL RIVER, MA 027205928 (Tel: 5089731780)
Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014448410)
Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014448410)
Internal Medicine (License #LP04894 in RI)
Hospitalist (License #MD046542 in DC)
NPI status registered as active in NPPES database
Registered at 2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 200373201 (Tel: 2027413000)
Registered at 2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 200373201 (Tel: 2027413000)
Recorded as MICHAEL SIMON, M.D.
Student in an Organized Health Care Education/Training Program
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
Mailing Address
593 Eddy St
Providence, RI 029034923
Phone: 4014448410
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