Active NPI 1528012424 Individual Practitioner Male Practitioner

Dr. Mathew J Simon , DO

Internal Medicine • Milford, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mathew Simon, DO is a certified Internal Medicine practicing in Milford, OH. With approximately 23 years of clinical experience since graduating from University Of Pikeville, Kentucky College Of Osteopathic Med in 2003, Dr. Simon delivers high-quality medical care to the local community at 5861 CINEMA DR.

Dr. Simon is affiliated with Trihealth G Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5861 Cinema Dr

Milford, OH 451501489

Telephone 5132488800

Fax 5132488177

Associated Practice Facility / Clinic

🏢 Trihealth Physician Practices, Llc Facility NPI 1386698991

Medicare Profile & Education

Medical School

University Of Pikeville, Kentucky College Of Osteopathic Med

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Milford, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +9.2 yrs vs City Avg

City Avg: 13.8 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Milford, OH (5516 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (23 Years) 23 Yrs

Milford Specialty Average (13.8 Years) 13.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	286	$193.00	$121.07
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	228	171	$28.00	$15.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$208.00	$121.91
99213 Established patient office or other outpatient visit, typically 15 minutes	119	93	$130.00	$85.63
G0008 Administration of influenza virus vaccine	51	51	$45.00	$30.41
90662 Influenza vaccine split virus, preservative free	48	48	$152.00	$81.41
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$38.00	$13.38
G0009 Administration of pneumococcal vaccine	22	22	$45.00	$30.47
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$475.00	$289.99
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	19	16	$108.00	$49.98

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	529	289	$193.00	$123.39
99213 Established patient office or other outpatient visit, typically 15 minutes	227	155	$130.00	$87.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$208.00	$125.32
G0008 Administration of influenza virus vaccine	82	82	$45.00	$29.36
90662 Influenza vaccine split virus, preservative free	79	79	$106.00	$71.93
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$38.00	$13.92
G0009 Administration of pneumococcal vaccine	24	24	$45.00	$29.36
81003 Automated urinalysis test	19	18	$12.00	$2.20
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$475.00	$282.89

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	556	302	$193.00	$124.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$208.00	$127.92
99213 Established patient office or other outpatient visit, typically 15 minutes	178	115	$130.00	$88.79
G0008 Administration of influenza virus vaccine	95	92	$45.00	$27.99
90662 Influenza vaccine split virus, preservative free	59	59	$106.00	$68.54
90682 Influenza vaccine, quadrivalent derived from recombinant dna	28	28	$106.00	$68.54
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$38.00	$13.66
99442 Telephone medical discussion with physician, 11-20 minutes	23	23	$105.00	$88.46
G0009 Administration of pneumococcal vaccine	14	14	$45.00	$28.13
81002 Urinalysis, manual test	14	13	$11.00	$3.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$300.00	$164.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$309.00	$164.50

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	677	343	$193.00	$80.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$208.00	$130.65
99213 Established patient office or other outpatient visit, typically 15 minutes	192	132	$130.00	$57.73
G0008 Administration of influenza virus vaccine	64	64	$45.00	$16.19
99442 Telephone medical discussion with physician, 11-20 minutes	49	40	$105.00	$90.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$309.00	$165.88
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$38.00	$14.49
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	27	$48.00	$20.53
90662 Influenza vaccine split virus, preservative free	19	19	$106.00	$65.26
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$106.00	$65.26
81002 Urinalysis, manual test	17	13	$11.00	$3.48
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	17	17	$108.00	$51.72
G0009 Administration of pneumococcal vaccine	17	17	$45.00	$16.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$226.00	$124.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$300.00	$166.21

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	576	290	$193.00	$69.31
99213 Established patient office or other outpatient visit, typically 15 minutes	176	119	$130.00	$50.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$208.00	$113.94
99442 Telephone medical discussion with physician, 11-20 minutes	108	78	$96.25	$73.57
G0008 Administration of influenza virus vaccine	67	67	$45.00	$16.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	60	60	$309.00	$167.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	31	31	$48.00	$19.58
93000 Routine ekg using at least 12 leads including interpretation and report	30	28	$38.00	$16.27
G0009 Administration of pneumococcal vaccine	28	28	$45.00	$15.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$217.48	$117.36
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	23	16	$106.61	$52.20
99443 Telephone medical discussion with physician, 21-30 minutes	23	21	$135.22	$106.20
90662 Influenza vaccine split virus, preservative free	19	19	$106.00	$60.98
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	17	$106.00	$60.98
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	13	$25.00	$14.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$300.00	$164.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$297.00	$158.69

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	750	314	$193.00	$64.57
99213 Established patient office or other outpatient visit, typically 15 minutes	294	161	$130.00	$44.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	163	163	$309.00	$167.07
G0009 Administration of pneumococcal vaccine	80	80	$45.00	$15.60
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	80	80	$37.00	$17.48
G0008 Administration of influenza virus vaccine	80	80	$45.00	$15.75
90670 Pneumococcal vaccine for injection into muscle	49	49	$311.33	$208.77
93000 Routine ekg using at least 12 leads including interpretation and report	45	41	$38.00	$16.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$208.00	$112.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$151.17	$110.03
81002 Urinalysis, manual test	19	17	$11.00	$3.41
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	19	14	$100.00	$51.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$300.00	$162.10

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	559	273	$193.00	$65.90
99213 Established patient office or other outpatient visit, typically 15 minutes	509	229	$130.00	$47.22
G0008 Administration of influenza virus vaccine	109	106	$45.00	$19.30
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	108	105	$35.00	$17.48
81002 Urinalysis, manual test	55	40	$10.22	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$309.00	$165.16
93000 Routine ekg using at least 12 leads including interpretation and report	49	45	$38.00	$16.20
G0009 Administration of pneumococcal vaccine	45	45	$45.00	$19.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$145.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	22	22	$298.64	$199.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$208.00	$111.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	637	257	$130.00	$49.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	430	246	$193.00	$69.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	97	97	$35.00	$17.48
G0008 Administration of influenza virus vaccine	96	96	$45.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	56	56	$285.00	$186.36
G0009 Administration of pneumococcal vaccine	49	49	$45.00	$23.76
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$38.00	$16.16
81002 Urinalysis, manual test	29	22	$10.00	$2.92
99495 Transitional care management services for problem of at least moderate complexity	13	12	$294.00	$156.42
90471 Administration of 1 vaccine	13	13	$45.00	$23.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$145.00	$96.87

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34008504

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2668868 (OH)

Hospital & Practice Group Affiliations

Trihealth G Llc

5861 Cinema Dr, Milford, OH 451501489

Phone: 5132488800

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Theresa Tumbusch , MD

Internal Medicine

NPI 1316949761

Doctor of Medicine (M.D.)

Stephanie Schmidt , APRN

Nurse Practitioner - Family

NPI 1346997947

Advanced Practice Registered Nurse

Dr. Sheela Sheth , MD

Family Medicine

NPI 1457353807

Doctor of Medicine (M.D.)

Dr. Elizabeth Wang , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1558919183

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2008

Registered at 5861 CINEMA DR, MILFORD, OH 451501489 (Tel: 5132488800)

📍

Updated Business Mailing Address January 14, 2008

Registered at 5861 CINEMA DR, MILFORD, OH 451501489 (Tel: 5132488800)

👤

Provider Name / Credentials Updated January 14, 2008

Recorded as MATHEW SIMON, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2008

Internal Medicine (License #34008504 in OH)

🟢

Initial NPI Registration & Enumeration May 22, 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: 1528012424

Entity Type:

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

Enumeration Date: May 22, 2006

Last Update: January 14, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5861 Cinema Dr

Milford, OH 451501489

Phone: 5132488800

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.