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Edit this profileWhere to find Michael Simon, M.D.
- Fall River location main office
1030 President Ave Ste 210, Fall River, MA 02720 - Providence location
593 Eddy St, Providence, RI 02903
About Dr. Simon
Michael Simon, M.D. is a healthcare provider in Fall River, MA specializing in pulmonary disease. Michael trained at George Washington University School of Medicine, graduating in 2016. According to Medicare claims data, Michael cared for 852 Medicare patients across 1,020 services. The services billed most often include established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, critical care, first 30-74 minutes, and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'. This provider record is associated with NPI 1366896912.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (508) 973-1780
- Email not available
Practice Locations
1030 PRESIDENT AVE STE 210
Fall River, MA 02720
593 Eddy St
Providence, RI 02903
Conditions Commonly Evaluated or Treated
Within Pulmonary Disease generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Airway disorders
Blood vessel disorders
Critical care
Diagnostic findings
Environmental lung diseases
Genetic conditions
Infections
- Community-acquired pneumonia
- Fungal lung infection
- Legionnaires' Disease
- Lung abscess
- NTM lung infection
- Severe Pneumonia
- Tuberculosis
- Valley fever
- Walking Pneumonia in Children
- Whooping Cough
Inflammatory conditions
Lung growths
Occupational & environmental
Pleural disorders
Post-infection conditions
Sleep disorders
- Excessive daytime sleepiness
- Shallow Breathing In Sleep
- Snoring
- Upper Airway Resistance Syndrome
- Waking Up Gasping Or Choking
Structural lung conditions
Symptoms
- Blue Baby Syndrome
- Chest congestion
- Coughing up blood
- Low oxygen levels
- Rapid Breathing
- Severe asthma attack
- Wheezing
Procedures & services
Most searched procedures
Airway care
Airway management
Biopsies
Biopsies & diagnostics
Breathing tests
- 6-minute walk test
- Asthma challenge test
- Cardiopulmonary Exercise Testing (CPET)
- Exhaled nitric oxide test
Cancer diagnostic procedures
Consultations
Counseling & prevention
Critical care
Diagnostic procedures
Drainage care
Imaging
Interventional procedures
Lab tests
Lung tests
Medications
Monitoring
Pleural procedures
- Chest tube insertion
- Draining lung fluid
- Medical thoracoscopy
- Permanent chest drain insertion
- Pleural sealing procedure
Procedures
Rehabilitation
Screening
Sleep equipment
Sleep medicine
Sleep treatments
Specialist evaluations
Specialized testing
Treatments
Procedures Most Often Billed to Medicare
1,020 services · 852 patients · 18 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Test to measure expiratory airflow and volume changes before and after medication administration | Treatment | 94060 |
57 | More often than most peers in Pulmonary Disease |
| Test to examine how well the lungs exchange gases | Treatment | 94729 |
53 | As often as other peers in Pulmonary Disease |
| Test to determine lung volumes using sensors | Treatment | 94726 |
53 | As often as other peers in Pulmonary Disease |
| Test to measure expiratory airflow and volume changes before and after medication administration | Treatment | 94060 |
29 | More often than most peers in Pulmonary Disease |
| Test to examine how well the lungs exchange gases | Treatment | 94729 |
26 | As often as other peers in Pulmonary Disease |
| Test to determine lung volumes using sensors | Treatment | 94726 |
14 | As often as other peers in Pulmonary Disease |
| Test to determine lung volumes using gas dilution or washout | Treatment | 94727 |
12 | Less often than most peers in Pulmonary Disease |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
171 | More often than most peers in Pulmonary Disease |
| Critical care, first 30-74 minutes | Office visit | 99291 |
143 | More often than most peers in Pulmonary Disease |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
112 | More often than most peers in Pulmonary Disease |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other lung specialists at this location 5
Same specialty, same street address — most likely the same department or group.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other lung specialists in Fall River 3
Same specialty, same city.
More connections — 24 related providers in 3 groups
Trained at George Washington University School of Medicine 8
Other providers in the same specialty who trained at the same institution.
Class of 2016 at George Washington University School of Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Test to measure expiratory airflow and volume changes before and after medication administration 8
Providers in MA who bill this service to Medicare most often.
Common questions
What is Michael Simon's specialty?
Michael Simon is a lung specialist in Fall River, MA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Pulmonary Disease”.
NPI registry
Where can I find Michael Simon?
Michael Simon is listed at 1030 President Ave Ste 210, Fall River, MA 02720. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Michael Simon?
The number on file is (508) 973-1780. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Michael Simon's NPI number?
Michael Simon's National Provider Identifier is 1366896912. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Michael Simon's education?
Michael Simon attended George Washington University School of Medicine, graduating in 2016. This comes from the CMS National Downloadable File.
CMS public data
How long has Michael Simon been practicing?
Michael Simon has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.
CMS public data
What is Michael Simon known for?
According to Medicare billing data, Michael Simon provides treatments such as test to measure expiratory airflow and volume changes before and after medication administration and test to examine how well the lungs exchange gases, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Michael Simon confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Michael Simon. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.