Individual provider Active NPI

Patrick Michael Simon, MD

  • Orthopaedic Surgery Physician
  • Live Oak, TX
National Provider Identifier
1710078969
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P1227 Issued in TX
Practice address
6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone
(210) 477-5151
Fax
(210) 477-5152
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 46696 WI
Orthopaedic Surgery Physician 207X00000X P1227 TX Primary

Addresses

Primary practice location

6704 Randolph Blvd
Live Oak, TX 78233-4222

Mailing address

12709 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3258
Phone (210) 477-5151

Other identifiers 1

IdentifierTypeStateIssuer
309223102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120125000475 TX Practitioner - Orthopedic Surgery 1557348307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

18707 Hardy Oak Blvd
Suite 415
San Antonio, TX 78258-4841
Phone (210) 477-5151

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

8811 Village Dr
San Antonio, TX 78217-5415

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46696WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Excel Orthopedics, LTD. Orthopaedic Surgery Past Accepting new patients

Locations

12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233

6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108

18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: psimon433780@christushealth.direct-ci.net
  • Direct secure messaging: patrick.simon.1@1438.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1710078969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 RANDOLPH BLVD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334222",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "46696",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309223102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.