DR. STEVEN MICHAEL SIMONS MD
NPI 1346222486
Internal Medicine in Beverly Hills, CA


Quality Rating: 83.66 out of 100 score

NPI Status: Active since November 15, 2005

Contact Information

9001 WILSHIRE BLVD
SUITE 200
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 274-3444
Fax: (775) 249-8082

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  • Individual
  • Male
  • Years of Experience 51
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About STEVEN SIMONS

This page provides the complete NPI Profile along with additional information for Steven Simons, an internist established in Beverly Hills, California with a medical specialization in Internal Medicine and more than 51 years of experience. He graduated from Wayne State University School Of Medicine in 1975. The healthcare provider is registered in the NPI registry with number 1346222486 assigned on November 2005. The practitioner's primary taxonomy code is 207R00000X with license number G32106 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1346222486
Provider Name
DR. STEVEN MICHAEL SIMONS MD
Gender
Male
Entity Type
Individual
Location Address
9001 WILSHIRE BLVD SUITE 200 BEVERLY HILLS, CA 90211
Location Phone
(310) 274-3444
Location Fax
(775) 249-8082
Mailing Address
9001 WILSHIRE BLVD SUITE 200 BEVERLY HILLS, CA 90211
Mailing Phone
(310) 274-3444
Mailing Fax
(775) 249-8082
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1975
Is Sole Proprietor?
No
Enumeration Date
11-15-2005
Last Update Date
09-10-2014
Code Navigator

An internist like Steven Simons is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
G32106
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

G32106 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G321060MEDICAID (05)CA 
G32106MEDICARE PIN (08)CA 
00G321060OTHER (01)CABLUE SHIELD
A45010MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Steven Simons is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Steven Simons is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739266149

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080409000756

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 13 Medicare Claims 26 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 14 Medicare Claims 67 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    3 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    4 DME suppliers used 23 Medicare Claims 23 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual alcohol misuse screening, 15 minutes

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

This service was performed 76 times for 76 patients

Annual depression screening, 15 minutes

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

This service was performed 72 times for 72 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 78 times for 78 patients

Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days

This service involves gathering and analyzing health data from a patient, which is digitally stored and sent to a healthcare professional. This may include heart rate, blood pressure, or blood sugar levels. The process takes at least 30 minutes and is repeated every 30 days.

This service was performed 43 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 158 times for 78 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 249 times for 111 patients

Evaluation of use of breathing device

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

This service was performed 13 times for 12 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 105 times for 66 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 12 times for 12 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

This service was performed 14 times for 11 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

This service was performed 14 times for 12 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

This service was performed 65 times for 22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 28 times for 26 patients

Smoking and tobacco use intensive counseling, 4-10 minutes

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

This service was performed 42 times for 40 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 307 times for 98 patients

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 72 times for 36 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 47 times for 38 patients

Test to determine lung volumes using gas dilution or washout

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

This service was performed 13 times for 12 patients

Test to examine how well the lungs exchange gases

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

This service was performed 13 times for 12 patients

Test to measure expiratory airflow and volume changes before and after medication administration

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

This service was performed 23 times for 16 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 18 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.59 for a new patient copayment and $27.49 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90211 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.66, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 83.66 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 45.54

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 45.54

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Appropriate Treatment for Upper Respiratory Infection (URI) 100% 25
Breast Cancer Screening 6% 90
Cervical Cancer Screening 41% 69
Diabetes: Eye Exam 8% 37
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 24% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
37
Diabetes: Medical Attention for Nephropathy 95% 37
Documentation of Current Medications in the Medical Record 4% 1247
e-Prescribing 99% 839
Falls: Screening for Future Fall Risk 41% 222
Pneumococcal Vaccination Status for Older Adults 33% 206
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 29% 393
Preventive Care and Screening: Influenza Immunization 20% 344
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 6% 506
Provide Patients Electronic Access to Their Health Information 100% 212
Use of High-Risk Medications in Older Adults 13% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
222
Use of High-Risk Medications in Older Adults 10% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
222
Use of High-Risk Medications in Older Adults 8% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
222

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346222486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386424416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 4 + 2 + 4 + 4 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1346222486 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164423547DR. ELI GINSBURG M.D.
Individual
Legal Medicine9001 WILSHIRE BLVD 302
BEVERLY HILLS, CA 90211
(310) 276-9588
1588626691 ROBERT HERMAN SHAW M.D.
Individual
Urology9001 WILSHIRE BLVD #104
BEVERLY HILLS, CA 90211
(310) 273-2686
1740236017 PAMELA NANCY ODELL DAVIS M.D.
Individual
Family Medicine9001 WILSHIRE BLVD SUITE 203
BEVERLY HILLS, CA 90211
(310) 624-1248
1518907872ALMONT AMBULATORY SURGERY CENTER INC.
Organization
Clinic/Center (Ambulatory Surgical)9001 WILSHIRE BLVD SUITE 106
BEVERLY HILLS, CA 90211
(310) 273-8885
1275577892DR. STUART HARVEY KUSCHNER MD
Individual
Orthopaedic Surgery (Hand Surgery)9001 WILSHIRE BLVD 200
BEVERLY HILLS, CA 90211
(310) 858-0104
1891721494VALENCIA SURGICAL CENTER
Organization
Clinic/Center (Ambulatory Surgical)9001 WILSHIRE BLVD SUITE 106
BEVERLY HILLS, CA 90211
(310) 273-8885
1881629335DR. ALEXANDER KIM MD
Individual
Specialist9001 WILSHIRE BLVD SUITE 203
BEVERLY HILLS, CA 90211
(310) 274-6671
1922033463DR. JOSEPH M NUSSBAUM MD
Individual
Internal Medicine (Infectious Disease)9001 WILSHIRE BLVD SUITE203
BEVERLY HILLS, CA 90211
(310) 274-6671
1184659617DR. RONALD S FISHBACH MD
Individual
Internal Medicine (Infectious Disease)9001 WILSHIRE BLVD SUITE 203
BEVERLY HILLS, CA 90211
(310) 274-6671
1043224629 MOSES J FALLAS M.D.
Individual
Surgery9001 WILSHIRE BLVD SUITE 304
BEVERLY HILLS, CA 90211
(310) 855-1023
1912915984MR. WILL J. ADAIR OTR/L, CHT
Individual
Occupational Therapist (Hand)9001 WILSHIRE BLVD SUITE 200
BEVERLY HILLS, CA 90211
(310) 858-0104
1629181862 MICHAEL J SOFFER M.D.
Individual
Specialist9001 WILSHIRE BLVD #100
BEVERLY HILLS, CA 90211
(310) 691-1138
1174692131ARASH A. HORIZON, M.D., INC
Organization
Internal Medicine (Rheumatology)9001 WILSHIRE BLVD SUITE 200
BEVERLY HILLS, CA 90211
(310) 659-7878
1821167537PACIFIC WEST DERMATOLOGY A MEDICAL CORP
Organization
Dermatology9001 WILSHIRE BLVD STE 106
BEVERLY HILLS, CA 90211
(310) 273-8885
1760540769MR. KOUROSH SOLIMAN TEHRANI PT
Individual
Physical Therapist9001 WILSHIRE BLVD 102
BEVERLY HILLS, CA 90211
(310) 550-8585
1376697599DR. MICHAEL M OMIDI M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)9001 WILSHIRE BLVD SUITE 106
BEVERLY HILLS, CA 90211
(310) 273-8885
1144375437KNT PHYSICAL THERAPY INC.
Organization
Physical Therapist9001 WILSHIRE BLVD 102
BEVERLY HILLS, CA 90211
(310) 550-8585
1619023249 STEFAN ANDREW UNTERHALTER M.D.
Individual
Internal Medicine (Nephrology)9001 WILSHIRE BLVD SUITE 201
BEVERLY HILLS, CA 90211
(310) 274-2722
1720123110 STUART MARC COHEN MD
Individual
Ophthalmology9001 WILSHIRE BLVD SUITE 306
BEVERLY HILLS, CA 90211
(310) 273-3014
1245358993DR. STEPHEN M LEWINSON DPM
Individual
Podiatrist9001 WILSHIRE BLVD SUITE # 308
BEVERLY HILLS, CA 90211
(310) 313-5027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346222486, enumerated in the NPI registry as an "individual" on November 15, 2005

The provider is located at 9001 Wilshire Blvd Suite 200 Beverly Hills, Ca 90211 and the phone number is (310) 274-3444

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 51 years of experience. He graduated from Wayne State University School Of Medicine in 1975.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Diabetes: Medical Attention for Nephropathy, e-Prescribing, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

Medicare beneficiaries should expect a typical cost of $142.39 with an average copayment of $35.59 for new patient appointments. Established patients should expect a typical charge of $109.96 and an average copayment of 27.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual alcohol misuse screening, 15 minutes, Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation of use of breathing device, Insertion of needle into vein for collection of blood sample, New patient office or other outpatient visit, 45-59 minutes, Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes, Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment, Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Smoking and tobacco use intensive counseling, 4-10 minutes, Telephone medical discussion with physician, 11-20 minutes, Telephone medical discussion with physician, 21-30 minutes, Telephone medical discussion with physician, 5-10 minutes, Test to determine lung volumes using gas dilution or washout, Test to examine how well the lungs exchange gases, Test to measure expiratory airflow and volume changes before and after medication administration and X-ray of chest, 2 views.

This NPI record was last updated on November 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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