JAMES H SIMON MD
NPI 1760484570
Radiology - Radiation Oncology in Sioux Falls, SD

NPI Status: Active since August 11, 2005

Contact Information

1000 E 23RD ST
STE 100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-1625
Fax: (605) 322-1626

Get Directions Reviews

  • Individual
  • Male
  • Radiology
  • Radiation Oncology
  • PECOS Enrolled

About JAMES SIMON

This page provides the complete NPI Profile along with additional information for James Simon, a provider established in Sioux Falls, South Dakota with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1760484570 assigned on August 2005. The practitioner's primary taxonomy code is 2085R0001X with license number 8285 (SD). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1760484570
Provider Name
JAMES H SIMON MD
Gender
Male
Entity Type
Individual
Location Address
1000 E 23RD ST STE 100 SIOUX FALLS, SD 57105
Location Phone
(605) 322-1625
Location Fax
(605) 322-1626
Mailing Address
2400 S MINNESOTA AVE STE 100 SIOUX FALLS, SD 57105
Mailing Phone
(605) 322-7510
Mailing Fax
(605) 322-1626
Is Sole Proprietor?
No
Enumeration Date
08-11-2005
Last Update Date
12-20-2013
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
8285
License State
SD
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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)
12085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

29580 (IA)

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.

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
7203440MEDICAID (05)SD 
92000626XOTHER (01)RAILROAD MEDICARE
173492000MEDICAID (05)MN 
28249OTHER (01)IABLUE CROSS
I1859MEDICARE ID-TYPE UNSPECIFIED (04)IA 
0233106MEDICAID (05)IA 
H35253MEDICARE UPIN (02) 
S105984MEDICARE PIN (08)SD 

Medicare Participation & PECOS Enrollment Status

James Simon 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

  • 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

Physician Visit Costs

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 57105 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $167.23
  • Minimum New Patient Price $55.52
  • Maximum New Patient Price $167.23
  • Average New Patient Copayment $41.8
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $41.8

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.2
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.08
  • Average Established Patient Copayment $17.3
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.27

* 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.

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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.
1760484570
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120888514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 8 + 8 + 5 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760484570 is valid because the calculated check digit 0 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
1467548727DR. TRICIA LAWRENCE MERRIGAN M.D.
Individual
Surgery1000 E 23RD ST STE 360
SIOUX FALLS, SD 57105
(605) 322-3950
1598755001 SALLY A WILLIAMS DO
Individual
Family Medicine1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3241
1063488310 KRISTEN DAWN HURLEY CNP
Individual
Nurse Practitioner (Family)1000 E 23RD ST STE. 200
SIOUX FALLS, SD 57105
(605) 322-3035
1215135348MRS. ELIZABETH ANN O'NEILL MS ARNP-BC
Individual
Nurse Practitioner1000 E 23RD ST SUITE #230
SIOUX FALLS, SD 57105
(605) 322-7334
1386005056 LAURA HOFER
Individual
Physician Assistant1000 E 23RD ST 230
SIOUX FALLS, SD 57105
(605) 322-6900
1174686547DR. BRIAN LEYLAND-JONES M.D
Individual
Internal Medicine (Medical Oncology)1000 E 23RD ST SUITE 200
SIOUX FALLS, SD 57105
(605) 322-4673
1639172349DR. CASEY BENJAMIN WILLIAMS PHARM.D., BCOP
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1000 E 23RD ST SUITE 200
SIOUX FALLS, SD 57105
(605) 322-3588
1700833712 JULIANN MARIE REILAND MD FACS
Individual
Surgery1000 E 23RD ST STE 300
SIOUX FALLS, SD 57105
(605) 322-3950
1265930184 BRENDA LEE LING MSW, CSW-PIP
Individual
Social Worker (Clinical)1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-1554
1891757290MRS. KATHLEEN LYNNE SCHNEEKLOTH MD
Individual
Radiology (Radiation Oncology)1000 E 23RD ST STE 100
SIOUX FALLS, SD 57105
(605) 322-1625
1134206949 BARBARA ANNE SCHLAGER MD
Individual
Radiology (Radiation Oncology)1000 E 23RD ST STE 100
SIOUX FALLS, SD 57105
(605) 322-1625
1386081883AVERA MCKENNAN
Organization
Family Medicine1000 E 23RD ST STE. 140
SIOUX FALLS, SD 57105
(605) 322-3241
1225300312 JESSICA DAWN KLEIN CNP
Individual
Nurse Practitioner1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3035
1124409495 ALEXANDRA ERICKSON DPT
Individual
Physical Therapist1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-2100
1467695767AVERA MCKENNAN
Organization
Clinic/Center (Medical Specialty)1000 E 23RD ST SUITE 330
SIOUX FALLS, SD 57105
(605) 322-7465
1760059182 JESSICA TISHER
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-8000
1255063897 ALYSSA WILLIAMS
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3000
1518582253 SYDNEY ANN HELGELIEN MS, CGC
Individual
Genetic Counselor, MS1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 868-2113
1467189308 RACHEL ELSEY PHARM.D.
Individual
Pharmacist1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3225
1518681436DR. CRYSTAL HATTUM PHARMD
Individual
Pharmacist (Oncology)1000 E 23RD ST
SIOUX FALLS, SD 57105
(605) 322-3893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760484570, enumerated in the NPI registry as an "individual" on August 11, 2005

The provider is located at 1000 E 23rd St Ste 100 Sioux Falls, Sd 57105 and the phone number is (605) 322-1625

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. 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.

Medicare beneficiaries should expect a typical cost of $167.23 with an average copayment of $41.8 for new patient appointments. Established patients should expect a typical charge of $69.2 and an average copayment of 17.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 11, 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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