Active NPI 1255363255 Individual Practitioner Male Practitioner

Brian Scott Simon , PT

Physical Therapist • Spring Lake, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Simon, PT is a certified Physical Therapist practicing in Spring Lake, NJ. With approximately 29 years of clinical experience since completing medical education in 1997, Brian Simon delivers high-quality medical care to the local community at 1325 WARREN AVE.

Brian Simon maintains professional affiliations with Sea Girt Physical Medicine And Rehabilitation Associates, Llc, New Jersey Rehabilitation and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure in a group setting, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 Warren Ave
Suite 5

Spring Lake, NJ 077622566

Telephone 7324497855

Fax 7324497856

Associated Practice Facility / Clinic

🏢 Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Facility NPI 1780130567

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Spring Lake, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +8.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Spring Lake, NJ (9814 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (29 Years) 29 Yrs

Spring Lake Specialty Average (20.8 Years) 20.8 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,308	126	$125.00	$27.07
97150 Therapy procedure in a group setting	1,208	120	$75.12	$14.53
97140 Therapy procedure using manual technique, each 15 minutes	785	97	$90.00	$21.66
97530 Therapy procedure using functional activities	333	41	$100.00	$36.44
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	308	45	$100.00	$34.77
97162 Evaluation for physical therapy, typically 30 minutes	37	34	$225.00	$105.67
97161 Evaluation of physical therapy, typically 20 minutes	21	20	$200.00	$105.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,098	88	$125.00	$29.88
97140 Therapy procedure using manual technique, each 15 minutes	1,032	87	$90.00	$22.07
97150 Therapy procedure in a group setting	989	85	$75.00	$14.68
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	61	11	$35.00	$9.77
97162 Evaluation for physical therapy, typically 30 minutes	35	29	$225.00	$104.98
97161 Evaluation of physical therapy, typically 20 minutes	12	12	$200.00	$107.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,344	113	$89.99	$22.90
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,250	110	$125.00	$31.17
97150 Therapy procedure in a group setting	1,241	114	$75.00	$14.94
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	112	18	$100.00	$35.39
97530 Therapy procedure using functional activities	95	11	$100.00	$39.49
97162 Evaluation for physical therapy, typically 30 minutes	51	43	$200.49	$109.99
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	47	12	$35.00	$10.04
97163 Evaluation for physical therapy, typically 45 minutes	15	14	$250.00	$109.47
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$150.00	$109.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,385	103	$90.03	$23.25
97150 Therapy procedure in a group setting	1,354	101	$75.00	$15.21
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,314	98	$125.00	$31.23
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	177	28	$100.00	$36.57
97530 Therapy procedure using functional activities	172	18	$100.00	$42.31
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	117	24	$35.00	$10.63
97162 Evaluation for physical therapy, typically 30 minutes	56	48	$200.00	$110.35
97163 Evaluation for physical therapy, typically 45 minutes	16	15	$250.00	$103.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,236	72	$115.76	$29.73
97140 Therapy procedure using manual technique, each 15 minutes	1,099	73	$88.17	$23.91
97150 Therapy procedure in a group setting	755	58	$75.00	$15.59
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	356	26	$35.67	$11.08
97530 Therapy procedure using functional activities	269	21	$69.57	$38.65
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	240	34	$99.00	$36.94
97116 Walking training to 1 or more areas, each 15 minutes	204	23	$57.05	$25.06
97162 Evaluation for physical therapy, typically 30 minutes	53	44	$194.69	$94.11
97163 Evaluation for physical therapy, typically 45 minutes	18	14	$250.00	$94.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97530 Therapy procedure using functional activities	2,175	59	$62.10	$37.65
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,544	59	$56.35	$25.43
97116 Walking training to 1 or more areas, each 15 minutes	1,435	58	$56.35	$24.78
97140 Therapy procedure using manual technique, each 15 minutes	516	31	$47.15	$22.93
97750 Test or measurement for functional capacity, each 15 minutes	121	42	$56.35	$28.90
97162 Evaluation for physical therapy, typically 30 minutes	36	30	$143.75	$91.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,153	101	$74.55	$28.06
97140 Therapy procedure using manual technique, each 15 minutes	879	89	$82.59	$23.01
97530 Therapy procedure using functional activities	580	37	$62.38	$39.15
97116 Walking training to 1 or more areas, each 15 minutes	556	39	$56.84	$24.76
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	154	35	$94.75	$36.92
97161 Evaluation of physical therapy, typically 20 minutes	32	30	$187.70	$90.23
97162 Evaluation for physical therapy, typically 30 minutes	29	28	$168.97	$90.19
97750 Test or measurement for functional capacity, each 15 minutes	24	14	$56.35	$30.41
97535 Training for self-care or home management, each 15 minutes	18	15	$80.65	$28.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,357	114	$95.00	$24.31
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,061	105	$95.00	$31.68
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	322	36	$95.00	$35.98
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	251	25	$50.00	$10.84
97530 Therapy procedure using functional activities	89	13	$95.00	$37.36
97161 Evaluation of physical therapy, typically 20 minutes	62	55	$200.00	$86.16
97162 Evaluation for physical therapy, typically 30 minutes	16	16	$200.00	$86.71

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License NJ 40QA00778500

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Sea Girt Physical Medicine And Rehabilitation Associates, Llc

1945 State Hwy 33, Neptune, NJ 077534859

Phone: 7329748100

Sea Girt Physical Medicine And Rehabilitation Associates, Llc

240 Parker Ave, Manasquan, NJ 087362804

Phone: 7329748100

New Jersey Rehabilitation

240 Parker Ave, Manasquan, NJ 087362804

Phone: 7329378939

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dustin Fullaway , PT

Physical Therapist

NPI 1346553807

Physical Therapist

Derek Mc Connell , PT

Specialist

NPI 1861837742

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1325 WARREN AVE, SUITE 5, SPRING LAKE, NJ 077622566 (Tel: 7324497855)

📍

Updated Business Mailing Address July 08, 2007

Registered at 187 MILLBURN AVE, SUITE 110, MILLBURN, NJ 070411847 (Tel: 9734677976)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN SIMON, PT

🎓

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

Physical Therapist (License #40QA00778500 in NJ)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Brian Simon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255363255

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

187 Millburn Ave, Suite 110

Millburn, NJ 070411847

Phone: 9734677976

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.