Clark Jeffrey Simons, MD - Medicare General Surgery in Indianapolis, IN

Clark Jeffrey Simons, MD is a medicare enrolled "Surgery" physician in Indianapolis, Indiana. He went to State University Of Ny Upstate Medical University and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice University Surgeons Inc and his current practice location is 1001 W 10th St Bldg 1014, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 630-6623.

Clark Jeffrey Simons is licensed to practice in Indiana (license number 01052784A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437117082.

Contact Information

Clark Jeffrey Simons, MD
1001 W 10th St Bldg 1014,
Indianapolis, IN 46202-2859
(317) 630-6623
Not Available

Map and Direction




Physician's Profile

Full NameClark Jeffrey Simons
GenderMale
SpecialityGeneral Surgery
Experience31 Years
Location1001 W 10th St Bldg 1014, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clark Jeffrey Simons attended and graduated from State University Of Ny Upstate Medical University in 1993
  NPI Data:
  • NPI Number: 1437117082
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 11/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284656703
  • Enrollment ID: I20051228000207

Medical Identifiers

Medical identifiers for Clark Jeffrey Simons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437117082NPI-NPPES
000000386164OtherINANTHEM PIN
200291970MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01052784A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eskenazi HealthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Surgeons Inc9436171949105

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clark Jeffrey Simons allows following entities to bill medicare on his behalf.
Entity NameUniversity Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316966229
PECOS PAC ID: 9436171949
Enrollment ID: O20051228000112

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clark Jeffrey Simons is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clark Jeffrey Simons, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: (317) 963-0860
Clark Jeffrey Simons, MD
1001 W 10th St Bldg 1014,
Indianapolis, IN 46202-2859

Ph: (317) 630-6623

Reviews and Comments


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Jose Perez Garcia, MD
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Phone: 317-944-6562    Fax: 317-274-2940

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.