Active NPI 1710045281 Individual Practitioner Male Practitioner

Dr. Lawrence F. Simon , MD

Surgery • West Nyack, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Simon, MD is a certified Surgery practicing in West Nyack, NY. With approximately 61 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1965, Dr. Simon delivers high-quality medical care to the local community at 1CROSFIELD AVE.

Dr. Simon is affiliated with White Plains Medical Diagnostic Services, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1crosfield Ave
Suite 105

West Nyack, NY 10994

Telephone 8455353362

Fax 8455353368

Associated Practice Facility / Clinic

🏢 Low Tor Optical Facility NPI 1083761845

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1965

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Nyack, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

61 Yrs +26.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

4 Specialists

Practicing in West Nyack, NY (2269 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (61 Years) 61 Yrs

West Nyack Specialty Average (35.0 Years) 35.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	180	110	$63.92	$18.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	69	$229.78	$64.94
11042 Removal of skin and tissue, 20.0 sq cm or less	93	18	$245.16	$69.53
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$364.26	$102.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$450.43	$123.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	14	$159.95	$55.30
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$297.14	$82.93
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$397.28	$93.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	12	$95.25	$26.85
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$619.81	$167.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	196	118	$337.46	$67.51
96127 Assessment of emotional or behavioral problems	87	86	$63.77	$6.13
11042 Removal of skin and tissue, 20.0 sq cm or less	85	17	$437.40	$71.97
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$450.67	$86.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	20	$262.85	$92.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$506.13	$152.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$4079.40	$605.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	107	$323.79	$68.80
11042 Removal of skin and tissue, 20.0 sq cm or less	101	12	$424.00	$73.83
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$432.41	$88.60
96127 Assessment of emotional or behavioral problems	87	87	$60.00	$6.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	12	$249.00	$83.04
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2780.42	$454.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$479.00	$158.76
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$359.00	$121.48
49505 Repair of groin hernia (5 years or older)	11	11	$4238.55	$739.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	191	126	$275.00	$67.82
96127 Assessment of emotional or behavioral problems	133	131	$60.00	$6.49
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$360.00	$88.64
11042 Removal of skin and tissue, 20.0 sq cm or less	52	12	$424.00	$163.49
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$359.00	$122.22
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$325.00	$110.22
49505 Repair of groin hernia (5 years or older)	16	16	$3384.06	$710.52
47562 Removal of gallbladder using an endoscope	11	11	$2192.73	$418.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	84	$219.17	$54.87
96127 Assessment of emotional or behavioral problems	82	82	$42.93	$6.55
99213 Established patient office or other outpatient visit, typically 15 minutes	80	61	$289.30	$88.05
11042 Removal of skin and tissue, 20.0 sq cm or less	71	12	$424.00	$154.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	45	$479.00	$162.83
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$321.17	$91.59
11042 Removal of skin and tissue, 20.0 sq cm or less	42	15	$424.00	$75.06
17250 Application of chemical to stop tissue regrowth in wound	32	12	$290.00	$102.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	18	$249.00	$84.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$434.88	$129.34
47562 Removal of gallbladder using an endoscope	17	17	$1727.62	$358.77
49505 Repair of groin hernia (5 years or older)	15	15	$3625.87	$787.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$5756.00	$421.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$342.00	$22.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	110	$155.00	$52.73
11042 Removal of skin and tissue, 20.0 sq cm or less	105	15	$424.00	$73.00
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$266.00	$89.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	29	$249.00	$82.86
99213 Established patient office or other outpatient visit, typically 15 minutes	75	63	$257.00	$85.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$479.00	$156.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$387.00	$126.76
47562 Removal of gallbladder using an endoscope	24	24	$1484.80	$482.30
49505 Repair of groin hernia (5 years or older)	19	19	$2021.00	$660.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	130	$155.00	$51.31
99202 New patient office or other outpatient visit, typically 20 minutes	107	107	$266.00	$87.18
11042 Removal of skin and tissue, 20.0 sq cm or less	106	11	$424.00	$73.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	26	$249.00	$83.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$479.00	$157.06
17250 Application of chemical to stop tissue regrowth in wound	30	12	$290.00	$72.92
47562 Removal of gallbladder using an endoscope	29	29	$1151.12	$374.93
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$257.00	$84.73
49505 Repair of groin hernia (5 years or older)	20	19	$2239.27	$678.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$706.00	$232.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	230	148	$155.00	$50.91
11042 Removal of skin and tissue, 20.0 sq cm or less	104	17	$424.00	$73.76
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$266.00	$86.68
11042 Removal of skin and tissue, 20.0 sq cm or less	69	20	$424.00	$139.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	26	$247.39	$82.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$387.00	$127.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	34	$475.78	$157.16
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$257.00	$81.97
47562 Removal of gallbladder using an endoscope	27	27	$1843.00	$393.66
49505 Repair of groin hernia (5 years or older)	16	15	$2021.00	$659.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$694.80	$232.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$254.00	$21.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1942.43	$420.61
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$253.33	$58.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 096815-1

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

00496373 (NY)

Hospital & Practice Group Affiliations

White Plains Medical Diagnostic Services, Pc

41 E Post Rd, White Plains, NY 106014607

White Plains Medical Diagnostic Services, Pc

160 N Midland Ave, Nyack, NY 109601912

Phone: 8454807440

White Plains Medical Diagnostic Services, Pc

41 E Post Rd, White Plains, NY 106014607

Phone: 9146811201

White Plains Medical Diagnostic Services, Pc

160 N Midland Ave, Nyack, NY 109601912

Phone: 8458978371

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Lee Fleischer , MD

Surgery

NPI 1275541021

Doctor of Medicine (M.D.)

Dr. John Bartolotta , MD

Surgery

NPI 1740786888

Doctor of Medicine (M.D.)

Dr. Ziad Kronfol , MD

Colon & Rectal Surgery

NPI 1871750984

Doctor of Medicine (M.D.)

Dr. Adrienne Fueg , MD

Surgery

NPI 1891890554

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 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2011

Registered at 1CROSFIELD AVE, SUITE 105, WEST NYACK, NY 10994 (Tel: 8455353362)

📍

Updated Business Mailing Address July 19, 2011

Registered at 1 CROSFIELD AVE, SUITE 105, WEST NYACK, NY 109942222 (Tel: 8455353362)

👤

Provider Name / Credentials Updated July 19, 2011

Recorded as LAWRENCE SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2011

Surgery (License #096815-1 in NY)

🟢

Initial NPI Registration & Enumeration December 05, 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: 1710045281

Entity Type:

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

Enumeration Date: December 05, 2006

Last Update: July 19, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1 Crosfield Ave, Suite 105

West Nyack, NY 109942222

Phone: 8455353362

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.