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Deactivated NPI 1164448254 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore R Simon , MD

Nuclear Medicine • Dallas, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Simon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2006
NPI Deactivation Date June 18, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Simon, MD was a registered Nuclear Medicine practicing in Dallas, TX. Throughout an active medical career spanning 12 years, Dr. Simon provided care at the practice location at 7777 FOREST LN until profile deactivation on 2018-06-18.

Historical Medicare Part B clinical services included low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml, low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7777 Forest Ln

Dallas, TX 752302505

Telephone 2144352866
Fax 2144590054
Associated Practice Facility / Clinic
🏢 Lee Ann Pearse, M.d., P.a. Facility NPI 1063417236

Specialty Benchmarks & Practice Insights

Comparative analytics for Nuclear Medicine in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 29.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Dallas, TX (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.1% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
5,872 62 $0.12 $0.12
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
821 50 $1.50 $1.46
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
188 12 $0.75 $0.33
82565 Blood creatinine level
60 57 $15.00 $6.14
71046 X-ray of chest, 2 views
55 53 $55.00 $19.25
72148 MRI scan of lower spinal canal
39 39 $448.00 $123.00
74177 Ct scan of abdomen and pelvis with contrast
37 34 $630.00 $211.68
71260 Ct scan of chest with contrast
26 22 $463.00 $86.37
77080 Dxa bone density measurement of hip, pelvis, spine
25 25 $83.00 $31.14
70553 Mri scan of brain before and after contrast
22 22 $762.00 $248.83
72141 MRI scan of upper spinal canal
21 21 $451.00 $131.12
A9584 Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
13 13 $2425.54 $2386.73
78607 Nuclear medicine study of brain
13 13 $450.00 $299.97
73721 Mri scan of leg joint without contrast
12 12 $475.00 $161.31
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
12 12 $37.84 $37.23
72132 Ct scan of lower spine with contrast
12 12 $461.00 $158.03
70486 CT scan of face
11 11 $283.00 $91.17
76700 Ultrasound of abdomen
11 11 $250.00 $82.50

Medical Specialties & State Licenses

Nuclear Medicine Primary Specialty

NUCC Taxonomy Code: 207U00000X

State License TX F7919

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jeffrey Szot , MD

Emergency Medicine

NPI 1003059783

Doctor of Medicine (M.D.)

Kasey Rehme

Speech-Language Pathologist

NPI 1003433913
Dr. Christian Brewer , MD

Emergency Medicine

NPI 1003497611

Doctor of Medicine (M.D.)

Amelie Mckneely , PA-C

Physician Assistant - Surgical

NPI 1003984105

Physician Assistant (Certified)

Susan Deahl , MCD

Audiologist-Hearing Aid Fitter

NPI 1013178185
Dr. Tia Raymond , MD

Pediatrics - Pediatric Cardiology

NPI 1013979871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 7777 FOREST LN, DALLAS, TX 752302505 (Tel: 2144352866)

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Updated Business Mailing Address July 09, 2007

Registered at 3209 DREXEL DR, DALLAS, TX 752052912 (Tel: 2145282670)

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Provider Name / Credentials Updated July 09, 2007

Recorded as THEODORE SIMON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Nuclear Medicine (License #F7919 in TX)

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Initial NPI Registration & Enumeration July 14, 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: 1164448254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: July 09, 2007
Deactivation Date: June 18, 2018

Mailing Address

3209 Drexel Dr

Dallas, TX 752052912

Phone: 2145282670

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.