Dr Peter David Simone, MD, PHD - Medicare Ophthalmology in Omaha, NE

Dr Peter David Simone, MD, PHD is a medicare enrolled "Ophthalmology" physician in Omaha, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Ilumin Llc, Kugler Vision Pc and his current practice location is 16820 Frances St Ste 100, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 933-6600.

Dr Peter David Simone is licensed to practice in Nebraska (license number 32490) 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 1144630468.

Contact Information

Dr Peter David Simone, MD, PHD
16820 Frances St Ste 100,
Omaha, NE 68130-2391
(402) 933-6600
(402) 933-7123

Map and Direction




Physician's Profile

Full NameDr Peter David Simone
GenderMale
SpecialityOphthalmology
Experience10 Years
Location16820 Frances St Ste 100, Omaha, Nebraska
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:
  • Dr Peter David Simone attended and graduated from University Of Nebraska College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1144630468
  • Provider Enumeration Date: 05/08/2014
  • Last Update Date: 07/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911298674
  • Enrollment ID: I20200617001595

Medical Identifiers

Medical identifiers for Dr Peter David Simone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144630468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 32490 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical Center, Inc.Falls city, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ilumin Llc80221514554
Kugler Vision Pc63050113397

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. Dr Peter David Simone allows following entities to bill medicare on his behalf.
Entity NameCommunity Medical Center, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881643484
PECOS PAC ID: 6608776943
Enrollment ID: O20061222000136
Entity NameIlumin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144553926
PECOS PAC ID: 8022151455
Enrollment ID: O20100206000080
Entity NameKugler Vision Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023306792
PECOS PAC ID: 6305011339
Enrollment ID: O20111202000421

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. Dr Peter David Simone 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
Dr Peter David Simone, MD, PHD
16820 Frances St Ste 100,
Omaha, NE 68130-2391

Ph: (402) 933-6600
Dr Peter David Simone, MD, PHD
16820 Frances St Ste 100,
Omaha, NE 68130-2391

Ph: (402) 933-6600

Reviews and Comments


Ophthalmology Doctors in Omaha, NE

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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).

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