Dr. Caroline Simon, MD - Surgery in Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Caroline Simon, MD is a certified Surgery practicing in Houston, TX. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Simon delivers high-quality medical care to the local community at 6550 FANNIN ST STE 1601.

Dr. Simon maintains professional affiliations with Tmh Physician Associates Pllc, Houston Methodist Specialty Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, transplantation of donor liver to anatomic position, preparation of donor liver for transplantation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6550 Fannin St Ste 1601

Houston, TX 770302743

Telephone 7134415133

Associated Practice Facility / Clinic

🏢 Med Center Ob/gyn, Llp Facility NPI 1205832664

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Rising Specialist (<5 Yrs)

Practitioner Clinical Experience

4 Yrs -16.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (4 Years) 4 Yrs

Houston Specialty Average (20.3 Years) 20.3 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	13	$323.00	$139.64
47135 Transplantation of donor liver to anatomic position	15	15	$30430.63	$3429.14
47143 Preparation of donor liver for transplantation	13	13	$2892.32	$114.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
47135 Transplantation of donor liver to anatomic position	13	13	$32958.61	$3833.04
47143 Preparation of donor liver for transplantation	13	13	$3383.85	$143.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	36	$440.42	$160.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	22	$298.57	$111.56
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	42	21	$78.07	$35.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$594.00	$201.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	221	39	$291.57	$113.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	40	$429.11	$162.26
99443 Telephone medical discussion with physician, 21-30 minutes	28	22	$202.75	$110.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$582.30	$204.35
99239 Hospital discharge day management, more than 30 minutes	19	18	$278.84	$117.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$378.33	$148.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$305.71	$110.08
47135 Transplantation of donor liver to anatomic position	13	13	$21100.77	$3748.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	253	41	$282.81	$115.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	33	$416.56	$123.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$369.21	$152.62
99443 Telephone medical discussion with physician, 21-30 minutes	21	18	$182.71	$87.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$564.67	$187.37
99239 Hospital discharge day management, more than 30 minutes	16	15	$269.81	$119.24
47135 Transplantation of donor liver to anatomic position	16	15	$20365.46	$3745.40
47143 Preparation of donor liver for transplantation	12	12	$4486.92	$82.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	42	$273.62	$111.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	52	$401.57	$118.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$357.75	$147.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$544.78	$181.06
99239 Hospital discharge day management, more than 30 minutes	19	18	$260.68	$115.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	201	59	$272.00	$112.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	146	60	$398.07	$117.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	28	$190.00	$78.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	28	$355.00	$147.26
99239 Hospital discharge day management, more than 30 minutes	22	18	$259.00	$117.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$543.00	$182.03
47135 Transplantation of donor liver to anatomic position	15	15	$21660.00	$3877.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$285.15	$84.73
47143 Preparation of donor liver for transplantation	12	12	$3923.92	$72.43
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$262.00	$109.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	149	43	$272.00	$110.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	80	49	$353.00	$115.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	26	$190.00	$76.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	37	$263.00	$80.97
99221 Initial hospital inpatient care per day, typically 30 minutes	18	15	$262.00	$106.56
47135 Transplantation of donor liver to anatomic position	17	17	$16778.12	$2851.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$499.00	$177.93
47143 Preparation of donor liver for transplantation	15	14	$3615.61	$70.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$355.00	$144.12

Medical Specialties & State Licenses

CMS Verified: 2023-01-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX T9248

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Transplant Surgery

NUCC Taxonomy Code: 204F00000X

State License MA 246669

A surgeon who specializes in transplant surgery.

Transplant Surgery

NUCC Taxonomy Code: 204F00000X

State License TX T9248

A surgeon who specializes in transplant surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 246669

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License MA 246669

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License TX T9248

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Houston Methodist Specialty Physicians

6445 Main St, Houston, TX 770301502

Phone: 7134413150

Tmh Physician Associates Pllc

6445 Main St Opc, Houston, TX 770301502

Phone: 7133639844

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Muhammad Siddiqui , MD

Student in an Organized Health Care Education/Training Program

NPI 1285258681

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 20, 2023

Registered at 6550 FANNIN ST STE 1601, HOUSTON, TX 770302743 (Tel: 7134415133)

📍

Updated Business Mailing Address January 20, 2023

Registered at 6550 FANNIN STREET, SMITH TOWER, SUITE 1601, HOUSTON, TX 774012717 (Tel: 7134415133)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Transplant Surgery (License #246669 in MA)

✅

NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2016

Registered at 41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 018050001 (Tel: 7817442500)

📍

Updated Business Mailing Address December 27, 2016

Registered at 41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 018050001 (Tel: 7817442500)

👤

Provider Name / Credentials Updated December 27, 2016

Recorded as CAROLINE SIMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Surgery (License #246669 in MA)

🟢

Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

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Dr. Caroline Josephine Simon , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

Houston Methodist Specialty Physicians

Houston Methodist Specialty Physicians

Tmh Physician Associates Pllc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address