Individual provider Active NPI

Todd E Simon, D.O.

  • Vascular Surgery Physician
  • Prescott Valley, AZ
National Provider Identifier
1811144181
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
011868 Issued in AZ
Practice address
3262 N Windsong Dr BLDG 2
Prescott Valley, AZ 86314-2255
Phone
(928) 759-5890
Fax
(928) 458-2091
NPI assigned
Aug 19, 2008
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 061656 GA
Vascular Surgery Physician 2086S0129X 061656 GA
Vascular Surgery Physician 2086S0129X 011868 AZ Primary

Addresses

Primary practice location

3262 N Windsong Dr BLDG 2
Prescott Valley, AZ 86314-2255

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786

Other practice location 1

300 E Hospital Rd
Fort Gordon
Augusta, GA 30905-5741
Phone (706) 787-2248

Other practice location 2

2728 Sunset Blvd Ste 400
West Columbia, SC 29169-4872
Phone (803) 936-7095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsimon151097@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110413000996 GA Practitioner - Vascular SurgeryPractitioner - General Surgery 7012191166
I20220411000388 SC Practitioner - Vascular Surgery 7012191166 Reassigns benefits to 1 organization
I20250904003321 AZ Practitioner - Vascular Surgery 7012191166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2728 Sunset Blvd
Suite 400
West Columbia, SC 29169-4872
Phone (803) 936-7095

3262 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone (928) 759-5890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011868AZMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Vascular Surgery CurrentSince Apr 1, 2022 Accepting new patients
Tift Regional Health System Inc Vascular Surgery CurrentSince Jun 1, 2019 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Yrmc Hospice CurrentSince Oct 1, 2025 Accepting new patients
Lexington Health Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2019 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Lexington Health Inc CurrentSince Apr 1, 2022 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC PastSince Aug 25, 2025 Accepting new patients
Yavapai Regional Medical Center Past Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

3262 N Windsong Dr
Bldg 2
Prescott Valley, AZ 86314
Phone (928) 759-5890

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 400
West Columbia, SC 29169
Phone (803) 936-7095

Interoperability endpoints

  • Direct secure messaging: tsimon151097@direct.lexmed.com

Organizations & group practices 11

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

Hospital & facility affiliations 4

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1811144181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 N WINDSONG DR BLDG 2",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-759-5890",
            "fax_number": "928-458-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Hospital Rd",
            "address_2": "Fort Gordon",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309055741",
            "country_code": "US",
            "telephone_number": "706-787-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2728 Sunset Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694872",
            "country_code": "US",
            "telephone_number": "803-936-7095",
            "fax_number": "803-936-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TODD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "061656",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "061656",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "011868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsimon151097@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 400",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.