Timothy Simon, MD
NPI 1609824416 · Colon & Rectal Surgery Physician · Decatur, GA
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Simon, MD is a Colon & Rectal Surgery Physician provider in Decatur, GA (NPI 1609824416).
Provider details
- NPI number
- 1609824416
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 040846 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
206 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 | 135 | $89 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 28 | $110 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 | $165 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 14 | $56 |
| Removal of Polyps Or Growths of Large Bowel Using a Flexible Endoscope With Electrical Cautery45384 | 12 | $207 |
Typical Medicare-allowed amounts for these services range $56–$207 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metronidazole | 42 | 32 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 35 | 30 |
| Diphenoxylate Hcl/Atropinebrand: Diphenoxylate-Atropine | 28 | — |
| Ketorolac Tromethamine | 27 | 17 |
| Tramadol Hcl | 21 | — |
| Baclofen | 20 | 16 |
| Cephalexin | 19 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$231 across 6 records (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
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Timothy Simon's NPI number?
- Timothy Simon's National Provider Identifier (NPI) is 1609824416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Simon's specialty?
- Timothy Simon is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Simon located?
- Timothy Simon's practice location on file with NPPES is 2801 N Decatur Rd, Decatur, GA 30033-5949.
- What is Timothy Simon's phone number?
- The practice phone number listed in the NPPES registry for Timothy Simon is (770) 277-4277.
- Does Timothy Simon accept Medicare?
- Timothy Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Simon's NPI active?
- Yes — Timothy Simon's NPI (1609824416) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.