Diane Simeone, MD
NPI 1215038138 · Surgery Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diane Simeone, MD is a Surgery Physician provider in La Jolla, CA (NPI 1215038138).
Provider details
- NPI number
- 1215038138
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- G195633 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
12 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $77 |
Typical Medicare-allowed amounts for these services range $77–$77 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,840 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 160 E 34th StNew York, NY 10016-4744Phone: (212) 731-6150Fax: (212) 263-7511
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Diane Simeone's NPI number?
- Diane Simeone's National Provider Identifier (NPI) is 1215038138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Diane Simeone's specialty?
- Diane Simeone is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Diane Simeone located?
- Diane Simeone's practice location on file with NPPES is 3855 Health Sciences Dr, La Jolla, CA 92093-4744.
- What is Diane Simeone's phone number?
- The practice phone number listed in the NPPES registry for Diane Simeone is (800) 926-8273.
- Does Diane Simeone accept Medicare?
- Diane Simeone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Diane Simeone's NPI active?
- Yes — Diane Simeone's NPI (1215038138) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.