Caroline Simon, MD
NPI 1790903524 · Surgery Physician · Houston, TX
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Caroline Simon, MD is a Surgery Physician provider in Houston, TX (NPI 1790903524).
Provider details
- NPI number
- 1790903524
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 246669 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
48 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 20 | $140 |
| Transplantation of Donor Liver47135 | 15 | $3,429 |
| Preparation of Donor Liver for Transplantation47143 | 13 | $114 |
Typical Medicare-allowed amounts for these services range $114–$3,429 (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.
$5,377 across 33 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
- 2007-04-24
- Last updated
- 2023-01-20
- Certified
- 2023-01-17
Frequently asked questions
- What is Caroline Simon's NPI number?
- Caroline Simon's National Provider Identifier (NPI) is 1790903524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caroline Simon's specialty?
- Caroline Simon is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Caroline Simon located?
- Caroline Simon's practice location on file with NPPES is 6550 Fannin St Ste 1601, Houston, TX 77030-2743.
- What is Caroline Simon's phone number?
- The practice phone number listed in the NPPES registry for Caroline Simon is (713) 441-5133.
- Does Caroline Simon accept Medicare?
- Caroline Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Caroline Simon's NPI active?
- Yes — Caroline Simon's NPI (1790903524) is active in the NPPES registry as of the last update on 2023-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.