Active NPI 1992767388 Individual Practitioner Male Practitioner

Dr. Andrew L. Simon , MD

Urology • Brick, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Simon, MD is a registered healthcare professional specializing in Urology in Brick, NJ. Practice services are available at 459 JACK MARTIN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, manual urinalysis test with examination using microscope, non-automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

459 Jack Martin Blvd
Suite 3

Brick, NJ 087247724

Telephone 7328400900

Fax 7328400912

Associated Practice Facility / Clinic

🏢 Total Patient Care Llc Facility NPI 1477544146

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Brick, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.8 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Brick, NJ (474 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	955	568	$120.00	$97.28
51798 Ultrasound measurement of bladder capacity after voiding	432	320	$50.00	$12.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	99	$180.00	$137.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	43	$80.00	$61.14
81000 Manual urinalysis test with examination using microscope, non-automated	89	83	$13.00	$3.94
52000 Diagnostic exam of bladder and urethra using an endoscope	23	22	$500.00	$262.43
52281 Dilation of bladder canal (urethra) using an endoscope	21	21	$1000.00	$354.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$300.00	$178.84
76872 Ultrasound scan of pelvic region through rectum	17	16	$200.00	$33.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$100.00	$31.40
55700 Biopsy of prostate gland	17	16	$550.00	$136.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,547	729	$13.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	1,215	686	$120.00	$96.01
51798 Ultrasound measurement of bladder capacity after voiding	628	437	$50.00	$12.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	160	$180.00	$134.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	75	$80.00	$61.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$300.00	$177.12
52281 Dilation of bladder canal (urethra) using an endoscope	52	51	$1000.00	$361.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$275.00	$137.31
G0452 Molecular pathology procedure; physician interpretation and report	49	47	$120.00	$49.47
52000 Diagnostic exam of bladder and urethra using an endoscope	41	38	$500.00	$267.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	23	$175.00	$83.47
51741 Electronic assessment of bladder emptying	29	28	$180.00	$12.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	18	$50.00	$25.55
76872 Ultrasound scan of pelvic region through rectum	24	22	$200.00	$32.63
55700 Biopsy of prostate gland	24	22	$550.00	$130.84
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	21	$100.00	$31.97
76856 Complete ultrasound scan of pelvis	21	21	$278.00	$118.16
76857 Limited ultrasound scan of pelvis	18	17	$150.00	$52.97
74420 Imaging of urinary tract	13	11	$40.00	$25.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,556	768	$13.00	$3.96
99213 Established patient office or other outpatient visit, typically 15 minutes	1,122	653	$120.00	$99.34
51798 Ultrasound measurement of bladder capacity after voiding	579	435	$50.00	$12.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	243	$180.00	$139.28
G0452 Molecular pathology procedure; physician interpretation and report	190	131	$120.00	$49.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	80	$80.00	$62.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$300.00	$181.49
76857 Limited ultrasound scan of pelvis	81	69	$150.00	$54.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	79	$275.00	$143.89
52281 Dilation of bladder canal (urethra) using an endoscope	52	50	$1000.00	$372.44
52000 Diagnostic exam of bladder and urethra using an endoscope	50	48	$500.00	$282.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	36	$175.00	$75.95
51720 Instillation of anti-cancer drug into bladder	42	11	$350.00	$98.95
76872 Ultrasound scan of pelvic region through rectum	27	26	$200.00	$35.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	22	$50.00	$26.18
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$100.00	$32.97
55700 Biopsy of prostate gland	27	26	$550.00	$138.78
74420 Imaging of urinary tract	24	24	$40.00	$26.52
51741 Electronic assessment of bladder emptying	22	22	$180.00	$12.58
76856 Complete ultrasound scan of pelvis	14	14	$278.00	$123.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,717	783	$13.00	$4.01
99213 Established patient office or other outpatient visit, typically 15 minutes	1,114	643	$120.00	$100.21
51798 Ultrasound measurement of bladder capacity after voiding	605	435	$50.00	$11.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	258	$180.00	$142.96
G0452 Molecular pathology procedure; physician interpretation and report	241	157	$120.00	$49.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	237	97	$80.00	$62.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$300.00	$185.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	16	$650.00	$181.69
76857 Limited ultrasound scan of pelvis	93	89	$150.00	$53.83
51720 Instillation of anti-cancer drug into bladder	89	11	$350.00	$101.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	55	$175.00	$75.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	55	$50.00	$25.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	64	$275.00	$146.20
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	16	$85.00	$37.46
52281 Dilation of bladder canal (urethra) using an endoscope	63	62	$1000.00	$378.14
52000 Diagnostic exam of bladder and urethra using an endoscope	60	57	$500.00	$271.74
51741 Electronic assessment of bladder emptying	39	39	$180.00	$14.50
76856 Complete ultrasound scan of pelvis	34	34	$278.00	$126.89
74420 Imaging of urinary tract	27	24	$40.00	$26.97
55700 Biopsy of prostate gland	17	17	$550.00	$141.34
76872 Ultrasound scan of pelvic region through rectum	17	17	$200.00	$35.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$100.00	$33.55
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	13	12	$950.00	$314.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$400.00	$215.33
50590 Shock wave crushing of kidney stones	13	13	$2000.00	$626.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,504	737	$13.00	$4.00
87150 Identification of organisms by genetic analysis	1,500	117	$70.00	$34.39
99213 Established patient office or other outpatient visit, typically 15 minutes	1,053	634	$120.00	$82.61
J9280 Injection, mitomycin, 5 mg	664	13	$200.00	$61.61
51798 Ultrasound measurement of bladder capacity after voiding	457	371	$50.00	$11.89
87801 Detection test for multiple organisms	375	117	$80.00	$68.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	231	$180.00	$119.14
87798 Detection test for organism	250	117	$58.50	$34.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	72	$80.00	$50.22
76857 Limited ultrasound scan of pelvis	201	182	$150.00	$54.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	152	17	$650.00	$222.79
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	125	117	$74.00	$34.39
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	125	117	$75.00	$34.39
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	125	117	$74.00	$34.39
87651 Detection test for Strep (Streptococcus, group A)	125	117	$58.50	$34.39
51720 Instillation of anti-cancer drug into bladder	109	13	$350.00	$94.27
G0452 Molecular pathology procedure; physician interpretation and report	105	79	$120.00	$20.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$300.00	$178.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	72	19	$85.00	$35.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	56	$50.00	$26.04
52281 Dilation of bladder canal (urethra) using an endoscope	56	54	$1000.00	$365.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	34	$175.00	$78.29
52000 Diagnostic exam of bladder and urethra using an endoscope	42	39	$500.00	$240.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	34	$275.00	$149.28
51741 Electronic assessment of bladder emptying	36	36	$180.00	$12.94
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$120.00	$81.13
76856 Complete ultrasound scan of pelvis	22	22	$278.00	$124.37
55700 Biopsy of prostate gland	16	16	$550.00	$143.93
76872 Ultrasound scan of pelvic region through rectum	16	16	$200.00	$36.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$100.00	$34.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$400.00	$220.13
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$710.00	$186.91
74420 Imaging of urinary tract	13	12	$40.00	$27.60
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$530.00	$37.94
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	11	11	$900.00	$429.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,809	832	$13.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	1,236	742	$120.00	$79.65
51798 Ultrasound measurement of bladder capacity after voiding	670	489	$50.00	$14.36
J9280 Injection, mitomycin, 5 mg	544	16	$199.26	$97.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	254	$179.77	$116.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	230	25	$650.00	$224.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	71	$78.96	$48.97
G0452 Molecular pathology procedure; physician interpretation and report	189	130	$120.00	$19.46
76857 Limited ultrasound scan of pelvis	129	120	$150.00	$53.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$294.02	$175.80
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	110	25	$85.00	$34.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	67	$168.48	$76.60
51720 Instillation of anti-cancer drug into bladder	84	17	$334.94	$92.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	74	$269.21	$144.11
52281 Dilation of bladder canal (urethra) using an endoscope	55	55	$950.91	$330.24
52000 Diagnostic exam of bladder and urethra using an endoscope	52	51	$489.79	$209.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	41	$48.82	$24.96
51741 Electronic assessment of bladder emptying	34	33	$176.47	$13.15
55700 Biopsy of prostate gland	29	29	$542.03	$140.50
76872 Ultrasound scan of pelvic region through rectum	29	29	$200.00	$35.51
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$100.00	$33.91
74420 Imaging of urinary tract	22	20	$40.00	$26.15
76856 Complete ultrasound scan of pelvis	22	22	$278.00	$121.14
50590 Shock wave crushing of kidney stones	13	12	$1931.85	$617.73
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$672.73	$155.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,863	907	$13.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	1,468	856	$120.00	$78.01
51798 Ultrasound measurement of bladder capacity after voiding	771	554	$50.00	$17.86
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	243	26	$650.00	$214.10
G0452 Molecular pathology procedure; physician interpretation and report	211	165	$120.00	$19.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	210	87	$75.00	$47.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$267.00	$175.21
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	118	27	$85.00	$33.88
52000 Diagnostic exam of bladder and urethra using an endoscope	61	61	$441.00	$179.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	43	$125.00	$76.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$220.00	$143.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	47	$40.00	$23.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$175.00	$115.21
52281 Dilation of bladder canal (urethra) using an endoscope	46	44	$700.00	$301.17
74420 Imaging of urinary tract	35	30	$40.00	$18.56
51741 Electronic assessment of bladder emptying	31	30	$150.00	$13.85
76857 Limited ultrasound scan of pelvis	29	28	$150.00	$52.97
52005 Insertion of tube into ureter using an endoscope through bladder area	21	21	$600.00	$88.94
76856 Complete ultrasound scan of pelvis	19	19	$278.00	$122.16
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	18	16	$576.00	$228.33
55700 Biopsy of prostate gland	16	16	$473.00	$140.37
76872 Ultrasound scan of pelvic region through rectum	16	16	$200.00	$35.68
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$100.00	$34.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$116.00	$57.85
50590 Shock wave crushing of kidney stones	13	13	$1557.00	$613.85
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$300.00	$125.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,947	918	$13.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	1,493	853	$120.00	$78.16
51798 Ultrasound measurement of bladder capacity after voiding	766	557	$50.00	$21.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	241	27	$650.00	$209.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	103	$75.00	$47.02
G0452 Molecular pathology procedure; physician interpretation and report	208	143	$120.00	$19.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	190	190	$267.00	$173.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	53	$125.00	$75.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	106	27	$85.00	$35.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	70	$220.00	$143.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	65	$175.00	$114.70
52000 Diagnostic exam of bladder and urethra using an endoscope	57	57	$441.00	$179.81
52281 Dilation of bladder canal (urethra) using an endoscope	53	53	$700.00	$298.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	43	$40.00	$21.98
74420 Imaging of urinary tract	44	41	$40.00	$18.16
51741 Electronic assessment of bladder emptying	33	33	$150.00	$15.11
52005 Insertion of tube into ureter using an endoscope through bladder area	30	28	$600.00	$73.78
76856 Complete ultrasound scan of pelvis	27	27	$278.00	$122.05
55700 Biopsy of prostate gland	23	23	$473.00	$140.71
76872 Ultrasound scan of pelvic region through rectum	23	23	$200.00	$35.23
76857 Limited ultrasound scan of pelvis	20	20	$150.00	$52.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$116.00	$57.90
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	16	16	$800.00	$182.17
50590 Shock wave crushing of kidney stones	14	14	$1557.00	$571.70
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$576.00	$252.80

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA05112300

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cigna

7104406 (NJ)

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Pedro Escandon , MD

Internal Medicine - Interventional Cardiology

NPI 1215917737

Doctor of Medicine (M.D.)

Susan Boggs , NP

Nurse Practitioner - Family

NPI 1225029903

Nurse Practitioner

Dr. Theodore Lygas , MD

Surgery - Surgical Oncology

NPI 1528117207

Doctor of Medicine (M.D.)

Dr. Asim Gilani , MD

Family Medicine

NPI 1598756173

Doctor of Medicine (M.D.)

Dr. James Clarke , MD

Family Medicine

NPI 1689665358

Doctor of Medicine (M.D.)

Dr. John Pellegrino , MD

Surgery - Surgical Oncology

NPI 1730254053

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2015

Registered at 459 JACK MARTIN BLVD, SUITE 3, BRICK, NJ 087247724 (Tel: 7328400900)

📍

Updated Business Mailing Address February 17, 2015

Registered at 459 JACK MARTIN BLVD STE 3, BRICK, NJ 087247724 (Tel: 7328400900)

👤

Provider Name / Credentials Updated February 17, 2015

Recorded as ANDREW SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Urology (License #25MA05112300 in NJ)

🟢

Initial NPI Registration & Enumeration April 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992767388

Entity Type:

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

Enumeration Date: April 03, 2006

Last Update: February 17, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

459 Jack Martin Blvd Ste 3

Brick, NJ 087247724

Phone: 7328400900

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.