Active NPI 1144630468 Individual Practitioner Male Practitioner

Dr. Peter David Simone , MD, PhD

Ophthalmology • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Simone, MD, PhD is a certified Ophthalmology practicing in Omaha, NE. With approximately 12 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2014, Dr. Simone delivers high-quality medical care to the local community at 16820 FRANCES ST STE 100.

Dr. Simone maintains professional affiliations with Ilumin Llc, Kugler Vision Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16820 Frances St Ste 100

Omaha, NE 681302391

Telephone 4029336600

Fax 4029337123

Associated Practice Facility / Clinic

🏢 Ilumin, Llc Facility NPI 1144553926

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Omaha, NE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -14.8 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

74 Specialists

Practicing in Omaha, NE (125 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simone (12 Years) 12 Yrs

Omaha Specialty Average (26.8 Years) 26.8 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
92014 Established patient complete exam of visual system	396	366	$323.15	$116.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	293	$333.48	$117.93
92136 Measurement of corneal curvature and depth of eye	355	136	$206.38	$25.94
99213 Established patient office or other outpatient visit, typically 15 minutes	174	156	$242.55	$83.30
92134 Imaging of retina	171	142	$151.03	$36.52
92133 Imaging of optic nerve	155	153	$150.99	$33.01
92083 Exam of visual field with extended testing	151	148	$181.73	$57.85
66984 Removal of cataract with insertion of lens	137	101	$3300.23	$582.40
J2280 Injection, moxifloxacin, 100 mg	99	50	$100.79	$8.70
V2632 Posterior chamber intraocular lens	97	49	$500.40	$137.29
66821 Removal of recurring cataract in lens capsule using a laser	96	74	$1048.55	$313.99
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	54	49	$301.11	$45.38
64708 Release of nerve of arm or leg, open procedure	49	49	$750.82	$235.19
64727 Release of nerve using operating microscope	49	49	$751.22	$161.48
92004 New patient complete exam of visual system	36	36	$366.54	$138.27
92285 Photography of content of eyes	36	36	$96.11	$20.62
65855 Laser repair to improve eye fluid flow	34	18	$639.94	$223.03
76514 Ultrasound scan of cornea to determine thickness	27	27	$60.89	$9.73
92081 Exam of visual field with limited testing	27	27	$100.48	$27.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$425.55	$153.52
92250 Photography of the retina	19	18	$200.95	$32.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	381	340	$302.38	$117.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	242	$329.31	$117.64
92136 Measurement of corneal curvature and depth of eye	235	134	$193.02	$36.80
99213 Established patient office or other outpatient visit, typically 15 minutes	165	139	$249.52	$83.46
66984 Removal of cataract with insertion of lens	154	92	$1800.00	$488.75
92083 Exam of visual field with extended testing	145	142	$179.94	$57.33
92134 Imaging of retina	139	121	$149.48	$37.00
92133 Imaging of optic nerve	131	130	$150.00	$33.68
66821 Removal of recurring cataract in lens capsule using a laser	72	57	$899.50	$297.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	52	26	$300.00	$45.53
J2280 Injection, moxifloxacin, 100 mg	49	26	$100.00	$9.77
66984 Removal of cataract with insertion of lens	39	32	$3655.13	$617.20
64708 Release of nerve of arm or leg, open procedure	33	26	$750.00	$227.24
64727 Release of nerve using operating microscope	33	26	$750.00	$161.94
92004 New patient complete exam of visual system	27	27	$341.11	$140.47
67820 Removal of eyelashes using forceps	21	11	$179.52	$20.43
92285 Photography of content of eyes	21	21	$100.00	$20.45
92081 Exam of visual field with limited testing	21	20	$99.36	$28.46
92250 Photography of the retina	21	21	$180.95	$34.52
66982 Complex removal of cataract with insertion of prosthetic lens	16	12	$2000.00	$679.85
92136 Measurement of corneal curvature and depth of eye	12	12	$175.00	$28.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$329.00	$90.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	457	401	$297.77	$119.98
66984 Removal of cataract with insertion of lens	231	132	$1774.03	$489.17
92136 Measurement of corneal curvature and depth of eye	225	141	$173.71	$39.02
92134 Imaging of retina	172	129	$150.00	$38.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	161	$328.82	$121.47
92083 Exam of visual field with extended testing	152	150	$180.00	$58.54
92133 Imaging of optic nerve	131	129	$150.00	$34.54
92012 Established patient problem focused exam of visual system	123	113	$240.00	$84.15
99213 Established patient office or other outpatient visit, typically 15 minutes	106	92	$250.00	$85.63
92136 Measurement of corneal curvature and depth of eye	43	34	$173.84	$29.29
66821 Removal of recurring cataract in lens capsule using a laser	41	32	$850.00	$303.43
92004 New patient complete exam of visual system	34	34	$337.06	$142.79
66982 Complex removal of cataract with insertion of prosthetic lens	27	22	$1911.11	$644.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$425.00	$126.97
76514 Ultrasound scan of cornea to determine thickness	18	17	$60.00	$10.23
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$80.00	$26.78
67820 Removal of eyelashes using forceps	16	14	$130.00	$18.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$329.00	$93.87
92081 Exam of visual field with limited testing	11	11	$100.00	$27.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	482	413	$264.90	$119.78
92012 Established patient problem focused exam of visual system	179	153	$223.46	$83.77
92134 Imaging of retina	167	128	$141.02	$38.23
92083 Exam of visual field with extended testing	162	156	$173.33	$59.06
92136 Measurement of corneal curvature and depth of eye	161	105	$165.00	$42.41
92133 Imaging of optic nerve	149	147	$144.36	$34.51
66984 Removal of cataract with insertion of lens	146	87	$1550.00	$480.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	117	$323.69	$120.89
99213 Established patient office or other outpatient visit, typically 15 minutes	98	86	$244.55	$85.78
92136 Measurement of corneal curvature and depth of eye	42	33	$165.00	$29.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$322.92	$94.12
92004 New patient complete exam of visual system	39	39	$309.74	$143.12
76514 Ultrasound scan of cornea to determine thickness	38	35	$53.68	$10.27
66982 Complex removal of cataract with insertion of prosthetic lens	30	21	$1900.00	$669.45
66821 Removal of recurring cataract in lens capsule using a laser	22	18	$750.00	$300.56
92020 Examination of cornea and iris using lens device and slit lamp	21	19	$76.19	$26.62
92014 Established patient complete exam of visual system	15	15	$261.33	$74.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$415.77	$157.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$138.33	$52.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	158	$185.37	$119.39
92012 Established patient problem focused exam of visual system	98	85	$145.61	$83.23
92134 Imaging of retina	55	55	$105.45	$38.10
92133 Imaging of optic nerve	50	50	$109.00	$35.08
66984 Removal of cataract with insertion of lens	49	28	$1468.37	$491.43
92136 Measurement of corneal curvature and depth of eye	49	31	$165.00	$45.53
92083 Exam of visual field with extended testing	43	43	$150.00	$59.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$212.18	$98.39
92136 Measurement of corneal curvature and depth of eye	14	11	$165.00	$30.41
92004 New patient complete exam of visual system	12	12	$207.50	$134.13

Medical Specialties & State Licenses

CMS Verified: 2020-07-17

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NE 32490

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Kugler Vision Pc

8303 Dodge St, Omaha, NE 681144108

Phone: 4023544000

Ilumin Llc

16820 Frances St, Omaha, NE 681302391

Phone: 4029336600

Kugler Vision Pc

17838 Burke St, Omaha, NE 681182256

Phone: 4025582211

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Camilla Parson , MD

Ophthalmology

NPI 1003818295

Doctor of Medicine (M.D.)

Dr. Michael Goldstein , MD

Ophthalmology

NPI 1508868845

Doctor of Medicine (M.D.)

Dr. Dean Arkfeld , MD

Ophthalmology

NPI 1891797155

Doctor of Medicine (M.D.)

Dr. Brandon Menke , MD

Ophthalmology

NPI 1912312406

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 17, 2020

Registered at 16820 FRANCES ST STE 100, OMAHA, NE 681302391 (Tel: 4029336600)

📍

Updated Business Mailing Address July 17, 2020

Registered at 16820 FRANCES ST STE 100, OMAHA, NE 681302391 (Tel: 4029336600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2020

Ophthalmology (License #32490 in NE)

✅

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2014

Registered at 800 MEADOWS RD, BOCA RATON REGIONAL HOSPITAL, BOCA RATON, FL 334862304 (Tel: 5619555365)

📍

Updated Business Mailing Address May 08, 2014

Registered at 777 GLADES RD # BC71, INTERNAL MEDICINE RESIDENCY PROGRAM, COM, FAU, BOCA RATON, FL 334316424 (Tel: 5619555365)

👤

Provider Name / Credentials Updated May 08, 2014

Recorded as PETER SIMONE, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Student in an Organized Health Care Education/Training Program (License #TRN# 19895 in FL)

🟢

Initial NPI Registration & Enumeration May 08, 2014

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: 1144630468

Entity Type:

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

Enumeration Date: May 08, 2014

Last Update: July 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16820 Frances St Ste 100

Omaha, NE 681302391

Phone: 4029336600

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.