Active NPI 1881628683 Individual Practitioner Male Practitioner

Dr. John Mathew Simon , MD

Surgery • West Islip, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Simon, MD is a registered healthcare professional specializing in Surgery in West Islip, NY. Practice services are available at 580 UNION BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, follow-up hospital inpatient care per day, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

580 Union Blvd

West Islip, NY 11795

Telephone 6313216801

Fax 6313213869

Associated Practice Facility / Clinic

🏢 Great South Bay Surgical Associates And Vascular Lab, Llp Facility NPI 1891832572

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Islip, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.7 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

17 Specialists

Practicing in West Islip, NY (2269 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$385.00	$128.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	24	$167.00	$55.34
99213 Established patient office or other outpatient visit, typically 15 minutes	39	30	$312.00	$103.61
46930 Destruction of internal anal hemorrhoids	27	12	$764.00	$253.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$264.00	$87.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$575.00	$182.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$439.00	$145.35
49505 Repair of groin hernia (5 years or older)	14	14	$1967.86	$629.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$196.00	$64.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$379.72	$131.02
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$293.76	$104.61
46930 Destruction of internal anal hemorrhoids	39	12	$814.69	$228.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$173.00	$57.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$575.24	$194.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$425.29	$148.30
49505 Repair of groin hernia (5 years or older)	16	16	$3607.76	$717.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$187.71	$66.45
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$922.77	$274.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$314.02	$138.54
99213 Established patient office or other outpatient visit, typically 15 minutes	67	44	$199.98	$110.19
46930 Destruction of internal anal hemorrhoids	47	17	$1000.00	$270.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	24	$243.96	$84.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$455.00	$204.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$299.97	$153.28
49505 Repair of groin hernia (5 years or older)	17	17	$8500.03	$654.64
55520 Removal of spermatic cord growth	16	16	$1369.99	$321.58
49568 Placement of mesh to repair incisional or abdominal hernia	14	14	$6000.00	$365.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$750.12	$234.43
49560 Repair of incisional or abdominal hernia	11	11	$9799.94	$830.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$314.02	$133.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$455.00	$205.36
99213 Established patient office or other outpatient visit, typically 15 minutes	50	40	$199.98	$108.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	27	$243.96	$85.20
46930 Destruction of internal anal hemorrhoids	39	18	$1000.00	$275.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	21	$150.00	$68.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$750.12	$237.58
49505 Repair of groin hernia (5 years or older)	14	14	$8500.03	$716.60
55520 Removal of spermatic cord growth	11	11	$1369.99	$324.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$314.02	$129.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	22	$243.96	$84.24
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$199.98	$89.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$455.00	$191.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$299.97	$129.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	18	$357.17	$116.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$750.12	$237.54
49505 Repair of groin hernia (5 years or older)	13	13	$8500.03	$802.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$314.02	$125.24
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$199.98	$86.07
46930 Destruction of internal anal hemorrhoids	51	19	$1000.00	$252.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	25	$243.96	$82.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	13	$150.00	$52.85
49505 Repair of groin hernia (5 years or older)	20	20	$8494.78	$698.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$455.00	$190.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$293.03	$118.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$750.12	$230.72
55520 Removal of spermatic cord growth	15	15	$1369.99	$314.83
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$224.96	$82.91
49585 Repair of hernia at navel (5 years or older)	13	13	$10000.03	$346.54
47562 Removal of gallbladder using an endoscope	11	11	$27000.01	$722.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$314.02	$123.46
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$199.98	$82.32
46930 Destruction of internal anal hemorrhoids	52	21	$1000.00	$243.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	19	$243.96	$80.89
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$224.96	$85.46
49505 Repair of groin hernia (5 years or older)	19	19	$8500.03	$689.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$150.00	$50.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$299.97	$121.27
55520 Removal of spermatic cord growth	15	15	$1369.99	$286.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$750.12	$225.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$455.00	$188.36
46930 Destruction of internal anal hemorrhoids	63	21	$1000.00	$247.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	21	$226.61	$70.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$314.02	$124.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	33	$299.97	$118.19
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$199.98	$82.56
49505 Repair of groin hernia (5 years or older)	22	22	$8500.03	$734.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$399.95	$166.93
55520 Removal of spermatic cord growth	14	14	$1369.99	$305.81
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$6000.00	$341.59
49560 Repair of incisional or abdominal hernia	12	11	$9799.94	$663.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$750.12	$232.01

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 1662481

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01064671 (NY)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Garri Pasklinsky , MD

Specialist

NPI 1225279805

Doctor of Medicine (M.D.)

Dr. Michael Sacca , MD

Surgery - Vascular Surgery

NPI 1275553547

Doctor of Medicine (M.D.)

Dr. John Francfort , MD

Surgery - Vascular Surgery

NPI 1275554032

Doctor of Medicine (M.D.)

Jillian Strumpf

Physician Assistant

NPI 1356125538

Michael Carneiro , PA

Physician Assistant - Surgical

NPI 1407715246

Physician Assistant

Dr. Jennifer Castro , MD

Surgery

NPI 1477718039

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 580 UNION BLVD, WEST ISLIP, NY 11795 (Tel: 6313216801)

📍

Updated Business Mailing Address July 08, 2007

Registered at 580 UNION BLVD, WEST ISLIP, NY 11795 (Tel: 6313216801)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SIMON, MD

🎓

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

Surgery (License #1662481 in NY)

🟢

Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881628683

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

580 Union Blvd

West Islip, NY 11795

Phone: 6313216801

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.