Active NPI 1619135738 Individual Practitioner Male Practitioner

Dr. Daniel R Simon , MD

Urology • Renton, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Simon, MD is a certified Urology practicing in Renton, WA. With approximately 21 years of clinical experience since graduating from Rutgers New Jersey Medical School in 2005, Dr. Simon delivers high-quality medical care to the local community at 4033 TALBOT RD S.

Dr. Simon is affiliated with Valley Medical Group-Renton and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4033 Talbot Rd S
Ste 560

Renton, WA 980555772

Telephone 4256564110

Fax 4256564112

Associated Practice Facility / Clinic

🏢 Public Hospital District #1 Of King County Facility NPI 1730135088

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Renton, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Renton, WA (351 Statewide)

Telehealth Adoption Rate

83.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (21 Years) 21 Yrs

Renton Specialty Average (17.5 Years) 17.5 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	221	178	$135.57	$102.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$153.24	$140.70
52000 Diagnostic exam of bladder and urethra using an endoscope	51	36	$101.00	$82.96
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$87.86	$69.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$346.00	$126.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$1095.58	$345.67

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	219	190	$112.00	$105.23
99213 Established patient office or other outpatient visit, typically 15 minutes	72	67	$78.00	$71.18
52000 Diagnostic exam of bladder and urethra using an endoscope	70	65	$109.86	$84.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$151.00	$143.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$95.00	$89.01
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$1084.31	$425.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$346.00	$131.30
76872 Ultrasound scan of pelvic region through rectum	15	15	$232.53	$34.73
55700 Biopsy of prostate gland	14	14	$430.29	$132.96
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	13	13	$246.00	$213.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$87.00	$32.54

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	186	157	$112.00	$106.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$158.00	$145.67
52000 Diagnostic exam of bladder and urethra using an endoscope	54	48	$101.00	$86.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$139.10	$97.82
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$78.00	$72.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$182.00	$73.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$103.32	$89.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$178.30	$141.29
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$90.33	$66.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$3454.71	$158.88
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1055.00	$373.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$346.00	$123.78
55700 Biopsy of prostate gland	11	11	$505.09	$132.19
76872 Ultrasound scan of pelvic region through rectum	11	11	$235.27	$35.21

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	241	171	$115.05	$106.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$153.58	$148.41
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$80.29	$72.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$106.25	$87.68
52000 Diagnostic exam of bladder and urethra using an endoscope	45	41	$97.42	$87.13
51703 Complicated insertion of bladder tube	24	14	$90.00	$82.86
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$1084.31	$411.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$3166.06	$143.95
76872 Ultrasound scan of pelvic region through rectum	16	15	$534.38	$44.13
55700 Biopsy of prostate gland	16	15	$273.00	$150.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$103.06	$35.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$174.13	$150.92
51741 Electronic assessment of bladder emptying	14	14	$26.07	$6.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$346.00	$146.82

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	204	154	$96.38	$85.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$142.00	$141.04
99213 Established patient office or other outpatient visit, typically 15 minutes	71	65	$64.49	$55.10
52000 Diagnostic exam of bladder and urethra using an endoscope	50	46	$106.40	$92.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$91.03	$80.90
76872 Ultrasound scan of pelvic region through rectum	18	17	$1210.00	$36.72
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	17	$87.00	$34.59
55700 Biopsy of prostate gland	18	17	$148.00	$144.65
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$1914.83	$159.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1092.68	$460.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$122.00	$121.73

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	287	204	$90.65	$83.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$149.11	$136.50
99213 Established patient office or other outpatient visit, typically 15 minutes	82	72	$62.17	$53.90
52000 Diagnostic exam of bladder and urethra using an endoscope	52	47	$427.85	$91.08
51741 Electronic assessment of bladder emptying	27	24	$160.00	$7.00
74420 Imaging of urinary tract	20	18	$46.00	$26.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	15	$439.58	$160.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$135.83	$114.09
51703 Complicated insertion of bladder tube	17	11	$337.00	$84.46
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1087.97	$407.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$85.00	$81.54
55700 Biopsy of prostate gland	11	11	$566.00	$146.21
76872 Ultrasound scan of pelvic region through rectum	11	11	$250.00	$33.54

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	286	196	$95.31	$81.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$155.02	$133.21
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$70.06	$53.09
52000 Diagnostic exam of bladder and urethra using an endoscope	41	37	$528.00	$89.02
51741 Electronic assessment of bladder emptying	28	26	$160.00	$8.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$85.00	$81.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	15	$293.52	$156.87
74420 Imaging of urinary tract	21	14	$46.00	$17.82
51703 Complicated insertion of bladder tube	18	13	$337.00	$86.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$138.60	$112.78
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$358.00	$112.56
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$361.00	$20.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1055.00	$368.15

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	231	158	$97.05	$80.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$152.25	$134.30
52000 Diagnostic exam of bladder and urethra using an endoscope	49	44	$528.00	$109.86
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$62.17	$53.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	18	$361.53	$143.69
74420 Imaging of urinary tract	26	22	$46.00	$17.15
51741 Electronic assessment of bladder emptying	22	20	$160.00	$6.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$133.32	$117.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$94.19	$81.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	19	$1107.75	$418.89
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2151.00	$800.70
55700 Biopsy of prostate gland	13	13	$566.00	$148.90
51726 Complex measurement of pressure of urine flow in bladder	12	11	$398.50	$82.69

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD60364529

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.

Hospital & Practice Group Affiliations

Valley Medical Group-Renton

4033 Talbot Rd S, Renton, WA 980555704

Phone: 4256565365

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Ron Swensen , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1184714032

Doctor of Medicine (M.D.)

Dr. Cynthia Lewis , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1902895816

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 June 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2013

Registered at 4033 TALBOT RD S, STE 560, RENTON, WA 980555772 (Tel: 4256564110)

📍

Updated Business Mailing Address June 07, 2013

Registered at PO BOX 34876, SEATTLE, WA 981241876 (Tel: 4256565412)

👤

Provider Name / Credentials Updated June 07, 2013

Recorded as DANIEL SIMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2013

Urology (License #MD60364529 in WA)

🟢

Initial NPI Registration & Enumeration May 27, 2008

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: 1619135738

Entity Type:

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

Enumeration Date: May 27, 2008

Last Update: June 07, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34876

Seattle, WA 981241876

Phone: 4256565412

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.