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
- 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
- Code Navigator
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
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) |
|---|---|---|---|---|
| 1 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | 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 |
|---|---|---|---|
| 7203440 | MEDICAID (05) | SD | |
| 92000626X | OTHER (01) | RAILROAD MEDICARE | |
| 173492000 | MEDICAID (05) | MN | |
| 28249 | OTHER (01) | IA | BLUE CROSS |
| I1859 | MEDICARE ID-TYPE UNSPECIFIED (04) | IA | |
| 0233106 | MEDICAID (05) | IA | |
| H35253 | MEDICARE UPIN (02) | ||
| S105984 | MEDICARE 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. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 8 | 4 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 8 | 8 | 5 | 14 | |
| 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 |
|---|---|---|---|
| 1467548727 | DR. TRICIA LAWRENCE MERRIGAN M.D. Individual | Surgery | 1000 E 23RD ST STE 360 SIOUX FALLS, SD 57105 (605) 322-3950 |
| 1598755001 | SALLY A WILLIAMS DO Individual | Family Medicine | 1000 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 |
| 1215135348 | MRS. ELIZABETH ANN O'NEILL MS ARNP-BC Individual | Nurse Practitioner | 1000 E 23RD ST SUITE #230 SIOUX FALLS, SD 57105 (605) 322-7334 |
| 1386005056 | LAURA HOFER Individual | Physician Assistant | 1000 E 23RD ST 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1174686547 | DR. BRIAN LEYLAND-JONES M.D Individual | Internal Medicine (Medical Oncology) | 1000 E 23RD ST SUITE 200 SIOUX FALLS, SD 57105 (605) 322-4673 |
| 1639172349 | DR. 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 | Surgery | 1000 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 |
| 1891757290 | MRS. 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 |
| 1386081883 | AVERA MCKENNAN Organization | Family Medicine | 1000 E 23RD ST STE. 140 SIOUX FALLS, SD 57105 (605) 322-3241 |
| 1225300312 | JESSICA DAWN KLEIN CNP Individual | Nurse Practitioner | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 322-3035 |
| 1124409495 | ALEXANDRA ERICKSON DPT Individual | Physical Therapist | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 322-2100 |
| 1467695767 | AVERA 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, MS | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 322-8000 |
| 1255063897 | ALYSSA WILLIAMS Individual | Genetic Counselor, MS | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 322-3000 |
| 1518582253 | SYDNEY ANN HELGELIEN MS, CGC Individual | Genetic Counselor, MS | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 868-2113 |
| 1467189308 | RACHEL ELSEY PHARM.D. Individual | Pharmacist | 1000 E 23RD ST SIOUX FALLS, SD 57105 (605) 322-3225 |
| 1518681436 | DR. 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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