Active NPI
Todd E Simon, D.O.
- Vascular Surgery Physician
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 011868
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsimon151097@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 33 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011868 | AZ | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Vascular Surgery | Current | Accepting new patients |
| Tift Regional Health System Inc | Vascular Surgery | Current | Accepting new patients |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Yrmc Hospice | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Yavapai Pathology Associates PLC | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Past | 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
- 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.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Anatomic Pathology Physician
- Prescott, AZ
- NPI 1841234184
-
- Community Based Hospice Care Agency
- Prescott Valley, AZ
- NPI 1467409219
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba LMC Heart and Vascular Center
- Cardiovascular Disease Physician
- West Columbia, SC
- NPI 1083211312
Vascular Surgery
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba Tift Regional Vascular
- Vascular Surgery Physician
- Tifton, GA
- NPI 1184080079
-
dba Tift Regional Ophthalmology
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- Pharmacy
- Prescott, AZ
- NPI 1639282999
-
dba Yavapai Regional Medical Center Physician Care
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.