Melissa Simon, MD
NPI 1316265259 · Ophthalmology Physician · Providence, RI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Simon, MD is a Ophthalmology Physician provider in Providence, RI (NPI 1316265259).
Provider details
- NPI number
- 1316265259
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 161664 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
45 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Exam to Measure Eye Deviation and Range of Motion92060 | 24 | $62 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $116 |
Typical Medicare-allowed amounts for these services range $62–$116 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-16
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Melissa Simon's NPI number?
- Melissa Simon's National Provider Identifier (NPI) is 1316265259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Simon's specialty?
- Melissa Simon is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Melissa Simon located?
- Melissa Simon's practice location on file with NPPES is 1 Hoppin St Ste 202, Providence, RI 02903-4141.
- What is Melissa Simon's phone number?
- The practice phone number listed in the NPPES registry for Melissa Simon is (401) 444-6551.
- Does Melissa Simon accept Medicare?
- Melissa Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Simon's NPI active?
- Yes — Melissa Simon's NPI (1316265259) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.