Active NPI 1417024902 Individual Practitioner Female Practitioner

Dr. Laurel L Simon , MD

Internal Medicine • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Laurel Simon, MD is a registered healthcare professional specializing in Internal Medicine in Portland, OR. Practice services are available at 4212 NE BROADWAY ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

4212 Ne Broadway St

Portland, OR 972131460

Telephone 5032498787

Associated Practice Facility / Clinic

🏢 Broadway Medical Clinic Llp Facility NPI 1720082316

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Portland, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.8 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

907 Specialists

Practicing in Portland, OR (2185 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% 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 (2022)

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	87	58	$300.00	$93.49
99213 Established patient office or other outpatient visit, typically 15 minutes	86	58	$225.00	$74.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$241.00	$38.57
77067 Screening mammography	38	38	$327.00	$99.99
77063 Screening digital tomography of both breasts	38	38	$67.00	$25.40
90662 Influenza vaccine split virus, preservative free	23	23	$80.22	$68.54
G0008 Administration of influenza virus vaccine	23	23	$58.00	$30.59
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$138.00	$39.24
83036 Hemoglobin A1C level	20	16	$36.00	$9.16
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$46.00	$14.63
0124A Fee covid-19 vac 13 res	11	11	$110.00	$40.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	85	$197.89	$72.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	77	$268.60	$103.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$241.00	$136.92
77063 Screening digital tomography of both breasts	57	57	$67.00	$27.08
77067 Screening mammography	57	57	$327.00	$102.56
G0008 Administration of influenza virus vaccine	47	46	$58.00	$17.74
90662 Influenza vaccine split virus, preservative free	41	40	$80.00	$65.16
83036 Hemoglobin A1C level	26	19	$36.00	$9.38
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$46.00	$15.25
77080 Dxa bone density measurement of hip, pelvis, spine	19	19	$138.00	$40.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$121.50	$43.07
G0009 Administration of pneumococcal vaccine	13	13	$58.00	$17.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$140.00	$125.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	105	$168.00	$61.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	81	$244.51	$90.28
36415 Insertion of needle into vein for collection of blood sample	87	65	$12.00	$2.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$241.00	$120.01
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	66	54	$30.00	$6.16
80053 Blood test, comprehensive group of blood chemicals	54	47	$32.00	$10.11
77063 Screening digital tomography of both breasts	53	53	$67.00	$26.61
77067 Screening mammography	53	53	$327.00	$105.16
G0008 Administration of influenza virus vaccine	53	53	$58.00	$17.47
90662 Influenza vaccine split virus, preservative free	51	51	$71.53	$60.62
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$46.00	$17.78
84443 Blood test, thyroid stimulating hormone (TSH)	43	41	$51.00	$16.30
84439 Thyroxine (thyroid chemical), free	38	36	$28.00	$8.73
80061 Blood test, lipids (cholesterol and triglycerides)	35	35	$49.00	$12.58
83036 Hemoglobin A1C level	29	22	$36.00	$9.69
81001 Manual urinalysis test with examination using microscope, automated	27	25	$22.00	$3.04
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	21	21	$48.00	$17.83
82044 Urine microalbumin (protein) analysis	20	19	$16.00	$5.89
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$138.00	$41.47
G0009 Administration of pneumococcal vaccine	13	13	$58.00	$17.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$245.09	$111.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	213	123	$12.00	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	114	$241.86	$85.61
80053 Blood test, comprehensive group of blood chemicals	160	111	$32.00	$11.36
99213 Established patient office or other outpatient visit, typically 15 minutes	152	98	$162.00	$58.19
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	129	110	$30.00	$7.00
84443 Blood test, thyroid stimulating hormone (TSH)	95	81	$51.00	$18.17
84439 Thyroxine (thyroid chemical), free	86	77	$28.00	$9.74
80061 Blood test, lipids (cholesterol and triglycerides)	80	72	$49.00	$14.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$241.00	$118.82
81001 Manual urinalysis test with examination using microscope, automated	69	53	$22.00	$3.42
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	64	64	$48.00	$17.69
77063 Screening digital tomography of both breasts	57	57	$67.00	$26.06
83036 Hemoglobin A1C level	56	38	$36.00	$10.57
77067 Screening mammography	56	56	$327.00	$102.65
82044 Urine microalbumin (protein) analysis	51	47	$16.00	$6.02
G0008 Administration of influenza virus vaccine	40	39	$58.00	$17.14
90662 Influenza vaccine split virus, preservative free	36	35	$65.25	$53.17
87086 Bacterial colony count, urine	35	28	$25.00	$8.61
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	18	$30.00	$9.42
87077 Bacterial culture for aerobic isolates	23	18	$30.00	$8.79
87088 Bacterial urine culture	21	17	$25.00	$8.81
81003 Automated urinalysis test	21	20	$14.00	$2.44
93000 Routine ekg using at least 12 leads including interpretation and report	20	17	$46.00	$17.57
G0009 Administration of pneumococcal vaccine	19	19	$58.00	$17.14
82728 Ferritin (blood protein) level	17	15	$41.00	$14.85
71046 X-ray of chest, 2 views	15	14	$50.00	$20.71
82570 Creatinine level to test for kidney function or muscle injury	14	14	$18.00	$5.63
82306 Vitamin d-3 level	14	14	$75.00	$30.62
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$138.00	$39.77
90670 Pneumococcal vaccine for injection into muscle	13	13	$250.00	$209.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	261	125	$12.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	119	$234.00	$95.81
99213 Established patient office or other outpatient visit, typically 15 minutes	188	112	$162.00	$64.56
80053 Blood test, comprehensive group of blood chemicals	165	114	$32.00	$12.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	136	109	$30.00	$7.77
84443 Blood test, thyroid stimulating hormone (TSH)	94	79	$51.00	$20.14
84439 Thyroxine (thyroid chemical), free	85	76	$28.00	$10.79
80061 Blood test, lipids (cholesterol and triglycerides)	80	73	$49.00	$16.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$241.00	$119.80
81001 Manual urinalysis test with examination using microscope, automated	65	49	$22.00	$3.79
77067 Screening mammography	62	62	$327.00	$103.07
83036 Hemoglobin A1C level	55	39	$36.00	$11.56
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	55	55	$48.00	$19.25
82044 Urine microalbumin (protein) analysis	46	43	$16.00	$5.99
G0008 Administration of influenza virus vaccine	41	41	$58.00	$21.21
90662 Influenza vaccine split virus, preservative free	40	40	$35.00	$34.30
93000 Routine ekg using at least 12 leads including interpretation and report	32	28	$46.00	$17.50
81003 Automated urinalysis test	29	26	$14.00	$2.71
87086 Bacterial colony count, urine	27	23	$25.00	$9.76
82306 Vitamin d-3 level	24	22	$75.00	$35.82
G0009 Administration of pneumococcal vaccine	23	23	$58.00	$21.21
82570 Creatinine level to test for kidney function or muscle injury	19	18	$18.00	$5.96
71046 X-ray of chest, 2 views	18	17	$50.00	$20.39
77063 Screening digital tomography of both breasts	18	18	$67.00	$26.40
82728 Ferritin (blood protein) level	14	11	$41.00	$16.49
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$110.31	$98.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$238.00	$110.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	275	131	$12.00	$2.82
99213 Established patient office or other outpatient visit, typically 15 minutes	254	128	$160.81	$70.15
80053 Blood test, comprehensive group of blood chemicals	175	117	$32.00	$11.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	93	$234.00	$104.47
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	154	116	$30.00	$8.55
84443 Blood test, thyroid stimulating hormone (TSH)	108	93	$51.00	$22.41
84439 Thyroxine (thyroid chemical), free	98	87	$28.00	$12.01
80061 Blood test, lipids (cholesterol and triglycerides)	81	81	$49.00	$15.20
83036 Hemoglobin A1C level	70	45	$36.00	$12.58
81001 Manual urinalysis test with examination using microscope, automated	66	54	$22.00	$4.21
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	64	64	$48.00	$21.38
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	62	62	$258.00	$103.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$241.00	$117.96
G0008 Administration of influenza virus vaccine	54	54	$58.00	$26.27
90662 Influenza vaccine split virus, preservative free	50	50	$35.00	$34.30
93000 Routine ekg using at least 12 leads including interpretation and report	41	39	$46.00	$17.11
82044 Urine microalbumin (protein) analysis	39	38	$16.00	$6.15
82306 Vitamin d-3 level	31	20	$75.00	$32.26
G0009 Administration of pneumococcal vaccine	28	28	$58.00	$26.27
87086 Bacterial colony count, urine	28	22	$25.00	$10.52
81003 Automated urinalysis test	21	19	$14.00	$3.02
90670 Pneumococcal vaccine for injection into muscle	19	19	$199.00	$187.00
82728 Ferritin (blood protein) level	18	15	$41.00	$11.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$238.00	$110.11
71020 X-ray of chest, 2 views, front and side	16	13	$50.00	$17.83
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$138.00	$42.39
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	14	11	$15.00	$4.77
84478 Triglycerides level	12	12	$19.00	$3.78
82465 Cholesterol level	11	11	$18.00	$3.45

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD 17875

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

06361-0 (OR)

Practice Associates & Co-Workers

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

34 Associated Practitioners

Dr. George Bengtson , MD

Pediatrics

NPI 1003983487

Doctor of Medicine (M.D.)

Dr. Luis Valls , MD

Internal Medicine

NPI 1013084573

Doctor of Medicine (M.D.)

Dr. Marjorie Hrbek , MD

Internal Medicine

NPI 1053488718

Doctor of Medicine (M.D.)

Dr. Mary Baker , MD

Pediatrics

NPI 1073670832

Doctor of Medicine (M.D.)

Dr. James Johnson , MD

Internal Medicine

NPI 1194892711

Doctor of Medicine (M.D.)

Dr. Meredith Grover , MD

Pediatrics

NPI 1205465705

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 October 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2010

Registered at 4212 NE BROADWAY ST, PORTLAND, OR 972131460 (Tel: 5032498787)

📍

Updated Business Mailing Address October 28, 2010

Registered at 4212 NE BROADWAY ST, PORTLAND, OR 972131460 (Tel: 5032498787)

👤

Provider Name / Credentials Updated October 28, 2010

Recorded as LAUREL SIMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2010

Internal Medicine (License #MD 17875 in OR)

🟢

Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Laurel Simon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417024902

Entity Type:

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

Enumeration Date: November 29, 2006

Last Update: October 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4212 Ne Broadway St

Portland, OR 972131460

Phone: 5032498787

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.