Active NPI 1811068976 Individual Practitioner Male Practitioner

Dr. Lee Thomas Simon , MD

Orthopaedic Surgery • Salem, OH

Professional Overview & Biography Verified Profile Summary

Dr. Lee Simon, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Salem, OH. Practice services are available at 1995 E STATE ST under active NPI credentials.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, new 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

1995 E State St

Salem, OH 444602423

Telephone 3303327840

Fax 3303327847

Associated Practice Facility / Clinic

🏢 Associates In Anesthesiology,inc Facility NPI 1245224393

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Salem, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.7 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Salem, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.8% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	63	56	$113.57	$48.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	24	$82.82	$34.36
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$130.00	$63.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$154.00	$80.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	108	76	$106.31	$51.20
99213 Established patient office or other outpatient visit, typically 15 minutes	65	57	$127.72	$65.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	35	$80.17	$35.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$151.00	$82.15
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$107.08	$48.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	137	90	$101.91	$51.94
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$118.99	$66.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	37	$76.69	$35.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$145.67	$82.12
20600 Aspiration and/or injection of fluid from small joint	18	12	$65.33	$32.02
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$103.21	$48.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$163.45	$98.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	130	91	$92.92	$51.69
99213 Established patient office or other outpatient visit, typically 15 minutes	117	95	$92.70	$50.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$140.78	$74.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	26	$58.94	$25.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$139.67	$78.40
20550 Injection into tendon or ligament	15	11	$78.20	$37.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	146	$90.00	$49.98
20610 Aspiration and/or injection of fluid from large joint	179	117	$90.00	$50.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$135.00	$74.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$55.00	$24.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$260.00	$186.46
64721 Release and/or relocation of hand nerve	14	11	$545.00	$407.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$135.00	$77.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	191	130	$90.00	$47.33
99213 Established patient office or other outpatient visit, typically 15 minutes	164	130	$90.00	$48.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$135.00	$72.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	46	$55.00	$24.10
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$90.00	$67.50
20610 Aspiration and/or injection of fluid from large joint	22	22	$90.00	$60.42
99202 New patient office or other outpatient visit, typically 20 minutes	20	19	$95.00	$48.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$260.00	$191.63
27447 Replacement of knee joint, both sides of knee	13	12	$1966.15	$1296.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$135.00	$100.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	274	178	$90.00	$50.65
99213 Established patient office or other outpatient visit, typically 15 minutes	171	136	$90.00	$49.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	98	$55.00	$24.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$135.00	$75.08
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$95.00	$49.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$180.00	$133.76
20605 Aspiration and/or injection of medium joint or joint capsule	29	25	$75.00	$31.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$50.00	$38.37
20550 Injection into tendon or ligament	18	15	$75.00	$36.93
27447 Replacement of knee joint, both sides of knee	15	13	$1780.00	$1338.94
64721 Release and/or relocation of hand nerve	12	12	$545.00	$394.54

Medical Specialties & State Licenses

CMS Verified: 2022-12-07

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH #35-043640

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

#0515008 (OH)

Secondary Practice Locations

2222 Oak St

Salem, OH 444602520

Phone: 3303378739

Practice Associates & Co-Workers

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

5 Associated Practitioners

Rachel Fender , PA

Physician Assistant

NPI 1336570050

Physician Assistant

Theodore Gagianas , PA-C

Physician Assistant - Surgical

NPI 1396100749

Physician Assistant (Certified)

Cynthia Novak , CNP

Nurse Practitioner - Adult Health

NPI 1538239934

Certified Nurse Practitioner

Dr. Joshua Natali , DO

Orthopaedic Surgery

NPI 1710220983

Doctor of Osteopathic Medicine (D.O.)

Dr. John Paumier , MD

Orthopaedic Surgery

NPI 1902976418

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location December 07, 2022

Registered at 1995 E STATE ST, SALEM, OH 444602423 (Tel: 3303327840)

✅

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 01, 2018

Registered at 2525 SOUTHEAST BLVD STE K, SALEM, OH 444603464 (Tel: 3303327840)

📍

Updated Practice Location February 01, 2018

Registered at 2222 OAK ST, SALEM, OH 444602520 (Tel: 3303378739)

👤

Provider Name / Credentials Updated February 01, 2018

Recorded as LEE SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Orthopaedic Surgery (License ##35-043640 in OH)

✅

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2015

Registered at 2222 OAK ST, SALEM, OH 444602520 (Tel: 3303378739)

📍

Updated Business Mailing Address March 31, 2015

Registered at 2020 E STATE ST, SUITE K, SALEM, OH 444602480 (Tel: 3303327685)

👤

Provider Name / Credentials Updated March 31, 2015

Recorded as LEE SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Orthopaedic Surgery (License ##35-043640 in OH)

🟢

Initial NPI Registration & Enumeration November 12, 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: 1811068976

Entity Type:

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

Enumeration Date: November 12, 2006

Last Update: December 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2525 Southeast Blvd Ste K

Salem, OH 444603464

Phone: 3303327840

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.