Active NPI 1447259171 Individual Practitioner Male Practitioner

Dr. James A Simon , MD

Urology • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Simon, MD is a certified Urology practicing in Tulsa, OK. With approximately 32 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1994, Dr. Simon delivers high-quality medical care to the local community at 6585 S YALE AVE STE 720.

Dr. Simon is affiliated with Warren Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6585 S Yale Ave Ste 720

Tulsa, OK 741368320

Telephone 9185025930

Fax 9185025935

Associated Practice Facility / Clinic

🏢 Warren Clinic Inc Facility NPI 1285356998

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +5.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 31.6 Yrs

Regional Practice Density

46 Specialists

Practicing in Tulsa, OK (179 Statewide)

Telehealth Adoption Rate

17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (32 Years) 32 Yrs

Tulsa Specialty Average (26.7 Years) 26.7 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	254	169	$213.61	$117.92
81003 Automated urinalysis test	149	122	$16.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	128	103	$151.38	$83.47
51798 Ultrasound measurement of bladder capacity after voiding	103	90	$39.00	$9.90
J0696 Injection, ceftriaxone sodium, per 250 mg	86	23	$6.00	$0.46
52000 Diagnostic exam of bladder and urethra using an endoscope	64	49	$469.69	$199.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$317.00	$154.15
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	56	51	$35.00	$15.43
74420 Imaging of urinary tract	53	35	$56.72	$22.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	28	$1343.95	$116.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	27	$162.87	$73.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$302.00	$167.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$306.00	$121.43
55700 Biopsy of prostate gland	23	23	$587.00	$218.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$170.00	$52.93
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	17	$1107.25	$354.16
51741 Electronic assessment of bladder emptying	14	14	$39.00	$7.02
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$3553.00	$1111.12
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1666.00	$308.20
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	11	$967.02	$303.12

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	257	165	$209.00	$119.51
81003 Automated urinalysis test	165	131	$16.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	153	113	$39.00	$9.55
99213 Established patient office or other outpatient visit, typically 15 minutes	120	93	$142.00	$85.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$317.00	$156.08
J0696 Injection, ceftriaxone sodium, per 250 mg	85	21	$6.00	$0.51
52000 Diagnostic exam of bladder and urethra using an endoscope	69	62	$420.00	$215.04
74420 Imaging of urinary tract	58	45	$41.00	$23.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	34	$1428.30	$117.10
51741 Electronic assessment of bladder emptying	32	29	$39.00	$6.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$306.00	$125.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	20	$1030.87	$359.00
55700 Biopsy of prostate gland	22	22	$587.00	$217.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$170.00	$54.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$161.00	$76.21
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	20	20	$3553.00	$1109.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$281.00	$152.58
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1666.00	$303.06

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	277	176	$209.00	$119.04
81003 Automated urinalysis test	141	128	$16.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$317.00	$157.58
51798 Ultrasound measurement of bladder capacity after voiding	121	83	$39.00	$9.34
99213 Established patient office or other outpatient visit, typically 15 minutes	82	67	$142.00	$84.62
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$6.00	$0.49
52000 Diagnostic exam of bladder and urethra using an endoscope	51	45	$420.00	$226.27
74420 Imaging of urinary tract	44	37	$41.00	$23.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	27	$1296.90	$135.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$170.00	$29.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$306.00	$127.85
55700 Biopsy of prostate gland	23	23	$587.00	$123.81
51741 Electronic assessment of bladder emptying	22	21	$39.00	$7.07
51700 Simple bladder irrigation and/or instillation	21	18	$176.00	$68.80
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	17	17	$3553.00	$1313.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1035.79	$379.65
51840 Suture of bladder neck to vaginal wall and pubic bone with bladder canal suspension	15	15	$1468.00	$316.18
55700 Biopsy of prostate gland	15	15	$587.00	$227.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$281.00	$170.44
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$568.00	$300.15
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1666.00	$299.54
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$170.00	$54.50
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$4187.00	$575.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$231.00	$97.16

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	284	236	$213.67	$127.87
51798 Ultrasound measurement of bladder capacity after voiding	208	150	$39.50	$9.85
81002 Urinalysis, manual test	200	153	$15.00	$3.45
81003 Automated urinalysis test	138	125	$16.00	$2.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$319.97	$159.88
52000 Diagnostic exam of bladder and urethra using an endoscope	72	66	$419.82	$228.39
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$144.84	$87.95
51741 Electronic assessment of bladder emptying	31	30	$37.98	$8.29
74420 Imaging of urinary tract	28	24	$41.72	$24.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$231.00	$98.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1080.04	$132.88
51701 Insertion of temporary bladder tube	21	17	$115.94	$46.71
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$226.00	$96.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$170.00	$30.31
55700 Biopsy of prostate gland	15	15	$587.00	$121.42
55700 Biopsy of prostate gland	14	14	$517.37	$248.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$147.14	$57.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$539.61	$307.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	757	397	$15.00	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	302	$218.02	$106.93
51798 Ultrasound measurement of bladder capacity after voiding	340	216	$40.14	$10.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$335.24	$162.14
52000 Diagnostic exam of bladder and urethra using an endoscope	129	96	$419.56	$210.73
99213 Established patient office or other outpatient visit, typically 15 minutes	111	88	$148.04	$73.27
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	93	14	$439.76	$222.28
51701 Insertion of temporary bladder tube	89	56	$112.16	$44.80
51741 Electronic assessment of bladder emptying	36	31	$32.68	$9.54
74420 Imaging of urinary tract	32	28	$39.51	$24.95
76872 Ultrasound scan of pelvic region through rectum	29	28	$192.20	$139.48
55700 Biopsy of prostate gland	26	25	$447.74	$242.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	24	$124.28	$54.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$606.13	$127.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$88.18	$44.84
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	15	$65.84	$31.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$411.98	$198.51
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1757.60	$730.89
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$499.86	$289.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	706	414	$15.00	$3.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	308	$218.02	$109.60
51798 Ultrasound measurement of bladder capacity after voiding	352	238	$40.14	$13.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$335.24	$165.56
52000 Diagnostic exam of bladder and urethra using an endoscope	169	142	$419.56	$192.43
99213 Established patient office or other outpatient visit, typically 15 minutes	138	122	$148.04	$74.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	131	20	$439.76	$223.71
51701 Insertion of temporary bladder tube	60	48	$112.16	$45.58
51741 Electronic assessment of bladder emptying	44	40	$32.68	$8.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	12	$146.38	$73.20
74420 Imaging of urinary tract	28	23	$39.22	$26.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	19	$65.84	$31.31
51702 Simple insertion of temporary bladder tube	25	11	$130.10	$63.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$220.62	$109.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	17	$606.13	$157.04
55700 Biopsy of prostate gland	24	24	$447.74	$255.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$124.28	$57.73
76872 Ultrasound scan of pelvic region through rectum	23	23	$192.20	$130.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$51.32	$16.90
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$1757.60	$754.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$499.86	$275.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$411.98	$203.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	695	372	$15.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	262	$218.02	$108.90
51798 Ultrasound measurement of bladder capacity after voiding	353	212	$40.14	$16.22
52000 Diagnostic exam of bladder and urethra using an endoscope	182	142	$419.56	$168.40
99213 Established patient office or other outpatient visit, typically 15 minutes	168	135	$148.04	$73.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	125	18	$439.76	$211.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$335.24	$166.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$220.62	$108.66
51701 Insertion of temporary bladder tube	63	55	$112.16	$47.64
74420 Imaging of urinary tract	32	25	$40.93	$17.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	23	$606.13	$131.29
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	30	30	$1757.60	$755.77
51741 Electronic assessment of bladder emptying	27	27	$32.68	$8.67
55700 Biopsy of prostate gland	27	27	$447.74	$256.34
76872 Ultrasound scan of pelvic region through rectum	26	26	$192.20	$98.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$124.28	$60.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	17	$65.84	$31.26
51736 Simple timed assessment of bladder emptying	24	23	$31.84	$8.22
52240 Destruction and/or removal of large growth of bladder using an endoscope	22	13	$779.79	$365.29
51702 Simple insertion of temporary bladder tube	19	13	$130.10	$65.72
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$499.86	$238.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$51.32	$20.81
52005 Insertion of tube into ureter using an endoscope through bladder area	14	12	$544.80	$68.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	4,550	12	$0.60	$0.02
81002 Urinalysis, manual test	446	354	$15.00	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	262	216	$39.34	$19.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	183	$218.02	$107.65
99213 Established patient office or other outpatient visit, typically 15 minutes	173	153	$148.04	$72.52
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	24	$439.76	$213.13
52000 Diagnostic exam of bladder and urethra using an endoscope	80	71	$419.56	$166.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$220.25	$107.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$335.24	$165.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	16	$51.32	$23.54
51702 Simple insertion of temporary bladder tube	29	23	$143.54	$64.09
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	26	$65.84	$32.91
81000 Manual urinalysis test with examination using microscope, non-automated	27	25	$15.00	$4.26
51705 Removal of skin suture with change of bladder tube	24	13	$186.64	$92.68
P9612 Catheterization for collection of specimen, single patient, all places of service	23	23	$3.00	$2.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	14	$348.46	$148.38
74420 Imaging of urinary tract	20	13	$44.15	$15.97
51741 Electronic assessment of bladder emptying	19	18	$32.58	$10.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$411.98	$203.92
76872 Ultrasound scan of pelvic region through rectum	14	14	$192.20	$96.52
55700 Biopsy of prostate gland	12	12	$447.74	$252.33

Medical Specialties & State Licenses

CMS Verified: 2021-06-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CO 38704

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200967720A (OK)

Medicaid State Provider ID

82474869 (CO)

Hospital & Practice Group Affiliations

Warren Clinic Inc

6161 S Yale Ave, Tulsa, OK 741361902

Phone: 9185024720

Practice Associates & Co-Workers

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

13 Associated Practitioners

Jennifer Compton , PA

Physician Assistant

NPI 1174560361

Physician Assistant

Dr. Nora Baker , DO

Urology

NPI 1215299284

Doctor of Osteopathic Medicine (D.O.)

Dr. Jonathan Israel , MD

Urology

NPI 1407122427

Doctor of Medicine (M.D.)

Heidi Cook , APN

Clinical Nurse Specialist - Gerontology

NPI 1528562071

Advanced Practice Nurse

Dr. Christopher Engles , MD

Urology

NPI 1598925521

Doctor of Medicine (M.D.)

Stefanie Manley , CNS

Clinical Nurse Specialist - Adult Health

NPI 1609130541

Clinical Nurse Specialist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 16, 2021

Registered at 6585 S YALE AVE STE 720, TULSA, OK 741368320 (Tel: 9185025930)

📍

Updated Business Mailing Address June 16, 2021

Registered at 6600 S YALE AVE STE 1400, TULSA, OK 741363331 (Tel: 8882470125)

✅

NPI Profile Active March 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2011

Registered at 75 PRINTERS PKWY, COLORADO SPRINGS, CO 809103151 (Tel: 7196341994)

📍

Updated Business Mailing Address March 21, 2011

Registered at 185 POLO PONY DR, COLORADO SPRINGS, CO 809063100 (Tel: 7192279822)

👤

Provider Name / Credentials Updated March 21, 2011

Recorded as JAMES SIMON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2011

Urology (License #38704 in CO)

🟢

Initial NPI Registration & Enumeration July 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447259171

Entity Type:

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

Enumeration Date: July 15, 2005

Last Update: June 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6600 S Yale Ave Ste 1400

Tulsa, OK 741363331

Phone: 8882470125

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.