Peter David Simone, M.D., PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

32490 Issued in NE

Practice address

16820 Frances St Ste 100
Omaha, NE 68130-2391

Phone

(402) 933-6600

Fax

(402) 933-7123

NPI assigned

May 8, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Nebraska College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ilumin LLCGroup PAC ID 8022151455, 5 clinicians

Kugler Vision PCGroup PAC ID 6305011339, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Merit-based Incentive Payment System (MIPS)

Final score

85.19 of 100Reported as group

Quality

89.03

Promoting interoperability

100

Improvement activities

40

Cost

61.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ilumin, LLC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1144553926
  Medicare reassignment Care Compare group NPD
• Kugler Vision PC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1023306792
  Medicare reassignment Care Compare group NPD
• Community Medical Center, Inc.

  • Critical Access Hospital
  • Falls City, NE
  • NPI 1881643484
  Medicare reassignment NPD
• Ilumin, LLC

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1477890937

  Ophthalmology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1144630468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 FRANCES ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302391",
            "telephone_number": "402-933-6600",
            "fax_number": "402-933-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16820 FRANCES ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302391",
            "telephone_number": "402-933-6600",
            "fax_number": "402-933-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "32490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Simon
• Stephanie Marie Simon, APRN
• Jaliah Simonds
• Javonta Q Simonds I
• Lataijah Dashae Simonds
• Trease J Simonetti
• Kaytlin Simonian
• Simonmed Imaging Nebraska LLC
• Simons ENT, PC
• Alexis Simons

• Ophthalmology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.