Active NPI 1497768758 Individual Practitioner Male Practitioner

Dr. Jay S Simoncic , MD

Orthopaedic Surgery • Great Neck, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Simoncic, MD is a certified Orthopaedic Surgery practicing in Great Neck, NY. With approximately 33 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1993, Dr. Simoncic delivers high-quality medical care to the local community at 833 NORTHERN BLVD.

Dr. Simoncic is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid large joint using ultrasound guidance, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

833 Northern Blvd
Suite 220

Great Neck, NY 112015308

Telephone 5166227980

Fax 5164989385

Associated Practice Facility / Clinic

🏢 New York Orthopedic And Spine Facility NPI 1851482905

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Great Neck, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -1.6 yrs vs City Avg

City Avg: 34.6 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

30 Specialists

Practicing in Great Neck, NY (1450 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simoncic (33 Years) 33 Yrs

Great Neck Specialty Average (34.6 Years) 34.6 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
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	399	157	$948.68	$135.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	255	$996.00	$148.17
99213 Established patient office or other outpatient visit, typically 15 minutes	237	159	$714.00	$105.63
73030 X-ray of shoulder, minimum of 2 views	206	142	$274.34	$44.51
73564 X-ray of knee, 4 or more views	174	165	$406.67	$74.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	113	$1414.00	$209.29
73562 X-ray of knee, 3 views	110	54	$280.55	$49.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$898.00	$129.55
73130 X-ray of hand, minimum of 3 views	35	31	$290.40	$53.39
20550 Injection into tendon or ligament	32	17	$457.94	$62.00
J1030 Injection, methylprednisolone acetate, 40 mg	31	25	$25.00	$6.34
73502 X-ray of hip, 2-3 views	29	27	$314.79	$55.13
73080 X-ray of elbow, minimum of 3 views	23	22	$293.48	$42.80
73630 X-ray of foot, minimum of 3 views	18	15	$255.44	$43.24
27447 Replacement of knee joint, both sides of knee	17	15	$11483.00	$1550.05
73610 X-ray of ankle, minimum of 3 views	16	12	$275.63	$49.18
20605 Aspiration and/or injection of medium joint or joint capsule	15	14	$433.00	$65.48
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$11215.00	$1741.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$1325.00	$195.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	360	157	$752.56	$139.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	227	$813.93	$148.83
99213 Established patient office or other outpatient visit, typically 15 minutes	202	132	$574.32	$104.79
73030 X-ray of shoulder, minimum of 2 views	189	150	$231.97	$46.55
73564 X-ray of knee, 4 or more views	154	146	$313.85	$73.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	152	137	$1090.61	$208.84
J1030 Injection, methylprednisolone acetate, 40 mg	130	97	$25.00	$7.59
73562 X-ray of knee, 3 views	90	49	$245.40	$54.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$742.31	$133.48
20550 Injection into tendon or ligament	40	23	$359.27	$63.98
73130 X-ray of hand, minimum of 3 views	35	34	$258.29	$57.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$934.74	$196.05
73080 X-ray of elbow, minimum of 3 views	18	15	$219.28	$39.72
27447 Replacement of knee joint, both sides of knee	18	18	$9323.94	$1601.94
73610 X-ray of ankle, minimum of 3 views	14	13	$225.00	$48.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	224	$689.00	$150.96
20610 Aspiration and/or injection of fluid from large joint	292	149	$490.58	$95.46
99213 Established patient office or other outpatient visit, typically 15 minutes	212	141	$494.60	$108.28
73030 X-ray of shoulder, minimum of 2 views	190	156	$195.81	$47.85
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	177	104	$626.90	$136.52
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	170	44	$473.00	$133.13
73564 X-ray of knee, 4 or more views	164	158	$283.05	$76.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$622.00	$138.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	107	$979.00	$215.78
J1030 Injection, methylprednisolone acetate, 40 mg	101	86	$21.00	$6.58
J1040 Injection, methylprednisolone acetate, 80 mg	92	77	$39.00	$10.70
73562 X-ray of knee, 3 views	52	34	$200.31	$54.19
73130 X-ray of hand, minimum of 3 views	43	40	$195.35	$53.03
20550 Injection into tendon or ligament	27	20	$299.00	$62.80
73610 X-ray of ankle, minimum of 3 views	19	18	$178.95	$48.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	15	$6.00	$1.11
73630 X-ray of foot, minimum of 3 views	16	14	$168.00	$43.48
73080 X-ray of elbow, minimum of 3 views	13	13	$187.00	$40.97
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$7764.00	$1850.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	428	224	$471.38	$92.84
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	268	61	$473.00	$135.37
J1030 Injection, methylprednisolone acetate, 40 mg	248	189	$21.00	$5.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	186	$475.00	$156.04
73030 X-ray of shoulder, minimum of 2 views	194	145	$198.19	$47.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	171	160	$641.00	$219.87
73564 X-ray of knee, 4 or more views	167	157	$280.49	$76.24
99213 Established patient office or other outpatient visit, typically 15 minutes	154	107	$383.00	$111.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$492.00	$138.39
73562 X-ray of knee, 3 views	55	36	$202.91	$55.45
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	35	23	$1838.00	$1219.00
73130 X-ray of hand, minimum of 3 views	27	27	$242.67	$66.03
20550 Injection into tendon or ligament	20	16	$299.00	$61.93
73080 X-ray of elbow, minimum of 3 views	16	16	$210.38	$45.62
20605 Aspiration and/or injection of medium joint or joint capsule	12	12	$325.00	$71.49
73630 X-ray of foot, minimum of 3 views	12	11	$168.00	$43.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	375	171	$456.00	$86.30
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	231	56	$473.00	$142.91
J1030 Injection, methylprednisolone acetate, 40 mg	214	147	$21.00	$6.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	137	$475.00	$129.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	170	154	$641.00	$174.19
73030 X-ray of shoulder, minimum of 2 views	150	111	$189.87	$43.51
73564 X-ray of knee, 4 or more views	129	120	$273.16	$68.49
99213 Established patient office or other outpatient visit, typically 15 minutes	125	94	$383.00	$90.49
73562 X-ray of knee, 3 views	43	28	$203.30	$52.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$492.00	$130.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$736.00	$198.19
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	32	21	$1838.00	$1199.52
73130 X-ray of hand, minimum of 3 views	30	27	$207.20	$53.12
20550 Injection into tendon or ligament	22	15	$312.59	$63.58
73630 X-ray of foot, minimum of 3 views	17	15	$177.88	$40.45
73080 X-ray of elbow, minimum of 3 views	16	14	$187.00	$38.26
73610 X-ray of ankle, minimum of 3 views	13	12	$183.08	$46.45
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3503.00	$229.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	350	184	$472.50	$82.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	208	$475.00	$126.47
J1030 Injection, methylprednisolone acetate, 40 mg	225	167	$21.00	$6.28
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	197	45	$473.00	$141.00
99213 Established patient office or other outpatient visit, typically 15 minutes	191	140	$383.00	$86.45
73564 X-ray of knee, 4 or more views	175	165	$277.31	$65.46
73030 X-ray of shoulder, minimum of 2 views	168	129	$194.95	$39.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$736.00	$192.76
73562 X-ray of knee, 3 views	57	38	$212.89	$51.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	51	$641.00	$169.77
73130 X-ray of hand, minimum of 3 views	38	37	$212.21	$50.86
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	31	18	$1838.00	$1092.43
20550 Injection into tendon or ligament	29	19	$309.31	$57.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$492.00	$125.04
73080 X-ray of elbow, minimum of 3 views	19	19	$187.00	$35.92
73610 X-ray of ankle, minimum of 3 views	15	13	$181.33	$42.93
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$3503.00	$220.80
73110 X-ray of wrist, minimum of 3 views	12	12	$232.00	$58.86
27447 Replacement of knee joint, both sides of knee	11	11	$7950.00	$1700.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	372	182	$450.60	$79.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	199	$475.00	$123.48
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	246	63	$473.00	$144.55
J1030 Injection, methylprednisolone acetate, 40 mg	228	161	$21.00	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	198	133	$383.00	$84.41
73030 X-ray of shoulder, minimum of 2 views	180	133	$200.74	$39.47
73564 X-ray of knee, 4 or more views	171	161	$270.23	$59.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	126	$641.00	$167.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$736.00	$188.11
73562 X-ray of knee, 3 views	65	35	$223.20	$49.40
73130 X-ray of hand, minimum of 3 views	45	41	$194.13	$43.44
20550 Injection into tendon or ligament	39	22	$306.67	$56.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$492.00	$127.03
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	17	$1838.00	$517.90
73080 X-ray of elbow, minimum of 3 views	16	16	$198.69	$40.02
73110 X-ray of wrist, minimum of 3 views	13	13	$187.38	$45.22
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$3503.00	$219.24
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$7764.00	$1806.04
73610 X-ray of ankle, minimum of 3 views	11	11	$170.00	$37.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	372	182	$488.91	$81.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	238	$475.00	$120.41
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	272	62	$473.00	$151.95
99213 Established patient office or other outpatient visit, typically 15 minutes	256	171	$383.00	$81.79
J1030 Injection, methylprednisolone acetate, 40 mg	243	173	$17.00	$5.75
73030 X-ray of shoulder, minimum of 2 views	189	140	$193.07	$36.35
73564 X-ray of knee, 4 or more views	162	151	$286.54	$61.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$736.00	$184.30
73562 X-ray of knee, 3 views	63	35	$209.62	$46.74
73130 X-ray of hand, minimum of 3 views	61	54	$201.05	$42.60
20550 Injection into tendon or ligament	45	27	$299.00	$53.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$492.00	$123.22
73110 X-ray of wrist, minimum of 3 views	21	17	$190.57	$45.00
73610 X-ray of ankle, minimum of 3 views	21	17	$170.00	$36.55
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$300.00	$56.63
73080 X-ray of elbow, minimum of 3 views	17	16	$209.00	$40.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3503.00	$213.82
73630 X-ray of foot, minimum of 3 views	11	11	$168.00	$33.65

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 210234

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

350 Community Dr, Manhasset, NY 110303816

Phone: 5165623845

North Shore-Lij Medical Pc

1111 Marcus Ave, New Hyde Park, NY 110421034

North Shore-Lij Medical Pc

415 Crossways Park Dr, Woodbury, NY 117972055

Phone: 6314701458

North Shore-Lij Medical Pc

330 Community Dr, Manhasset, NY 110303816

Phone: 5167082550

North Shore-Lij Medical Pc

221 Jericho Tpke, Syosset, NY 117914515

Phone: 5164962752

North Shore-Lij Medical Pc

833 Northern Blvd, Great Neck, NY 110215315

Phone: 5166227900

North Shore-Lij Medical Pc

415 Crosways Park Dr W, Nassau, NY 117972055

Phone: 8556054837

North Shore-Lij Medical Pc

415 Crossways Park Dr, Woodbury, NY 117972055

Phone: 5167348500

North Shore-Lij Medical Pc

300 Community Dr Ll, Manhasset, NY 110303816

Phone: 5165622229

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

North Shore-Lij Medical Pc

221 Jericho Tpke, Syosset, NY 117914515

Phone: 5164966558

North Shore-Lij Medical Pc

221 Jericho Turnpike, Syosset, NY 117914515

Phone: 5164966500

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. David Reich , MD

Physical Medicine & Rehabilitation

NPI 1063425312

Doctor of Medicine (M.D.)

Dr. Edward Mills , MD

Orthopaedic Surgery

NPI 1477546497

Doctor of Medicine (M.D.)

Dr. Vincent Leone , MD

Orthopaedic Surgery

NPI 1487667739

Doctor of Medicine (M.D.)

Dr. Richard Gilbert , MD

Orthopaedic Surgery - Hand Surgery

NPI 1700999737

Doctor of Medicine (M.D.)

Dr. Eugene Krauss , MD

Orthopaedic Surgery

NPI 1861405219

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 833 NORTHERN BLVD, SUITE 220, GREAT NECK, NY 112015308 (Tel: 5166227980)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 222076, GREAT NECK, NY 110222076 (Tel: 5166227980)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAY SIMONCIC, MD

🎓

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

Orthopaedic Surgery (License #210234 in NY)

🟢

Initial NPI Registration & Enumeration August 15, 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: 1497768758

Entity Type:

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

Enumeration Date: August 15, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 222076

Great Neck, NY 110222076

Phone: 5166227980

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.