Doctor Profile

Gastroenterology · Gastroenterology

Todd Simon

DO · Gastroenterology · Des Moines University Of Osteopathic Medicine And Health Sciences
5401 S CONGRESS AVE
SUITE 211
Atlantis, FL 33462
✓ Accepts Medicare 🎓 36+ Years Practicing
791
Medicare Patients / yr
12
Procedures Billed
36
Years Practicing
2
Hospital Affiliations
Data Source: Identity from NPPES (2026). Procedure & patient volume from CMS Medicare Provider Utilization & Payment Data (2023). Hospital affiliations from CMS Physician Compare. We display publicly reported data — no personal information required to view any of it.
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare, CMS, or Todd Simon's practice. This page displays publicly available CMS data to help you research Medicare providers. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE.

Medicare Plans That Cover Dr. Simon

See which plans Dr. Simon accepts

We're pulling plan acceptance data directly from insurance carrier provider directories. Until that feed is live for Florida, the fastest way to find a Medicare plan that covers Dr. Simon is to compare every Medicare Advantage and Part D plan available near 33462, FL — the Gastroenterology's office can quickly confirm which of the top local plans they accept.

Compare Medicare Plans near 33462, FL →

Or call the office at (561) 964-8221 to confirm acceptance directly.

What Dr. Simon Does

Dr. Simon served 791 Medicare patients across 1,100 services in the latest CMS reporting year. That's similar to the average Gastroenterology in Florida (763 patients across 1,026 doctors).

ProcedureServicesMedicare Patients
Established patient office or other outpatient visit, 20-29 minutes (99213)302228
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (99439)16922
New patient office or other outpatient visit, 45-59 minutes (99204)139139
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490)9822
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (45385)8383

How to read this: "Services" are the total times Dr. Simon billed Medicare for each procedure in the latest reporting year. "Patients" counts unique Medicare beneficiaries. Procedures are shown in plain English; the underlying HCPCS codes are available on request.

Hospital Affiliations

Dr. Simon is affiliated with 2 hospitals according to CMS Physician Compare. Below are the 2 hospitals with full quality profiles on our site. Hospital network status depends on your Medicare Advantage plan — always verify before enrolling.

Hca Florida Jfk Hospital

Atlantis, FL
★★☆☆☆ 2/5 CMS Rating

Wellington Regional Medical Center

Wellington, FL
★☆☆☆☆ 1/5 CMS Rating

Practice Location & Telehealth Readiness

Dr. Simon practices at the address below. If you're evaluating Medicare coverage, location matters for in-network access and — when Dr. Simon offers telehealth — broadband availability at your home matters for virtual visits.

Address: 5401 S CONGRESS AVE, SUITE 211, Atlantis, FL 33462
Phone: (561) 964-8221

Area Safety Grade

C+

Block-level crime analysis from CrimeGrade.org.

Practice Accessibility

30 min

Average commute time in this zip · 86% of residents drive to work. Practical context for patients deciding whether to make the trip. See the full neighborhood profile at BestNeighborhood.org.

Telehealth Readiness

59.5873

Households with fiber broadband — important for reliable virtual visits. Check your address at ISPReports.org.

Get directions on Google Maps →

Other Gastroenterology Doctors near 33462, FL

If Dr. Simon isn't accepting new patients or isn't in your plan's network, these are the closest gastroenterology doctors near 33462, FL:

DoctorSpecialtyMedicare Patients / yrDistance
Thomas I. RosenfieldGastroenterology1.3K1.8 mi
Taryn D. SilversteinGastroenterology5571.8 mi
Seth S. SteinbergGastroenterology8541.8 mi
Lyle K. HurwitzGastroenterology9801.8 mi
Frederick S. ShermanGastroenterology5851.8 mi

View all gastroenterology doctors near 33462, FL →

How to Use This Information

Choosing a Medicare plan that covers Dr. Simon takes three steps:

Compare Medicare Plans near 33462, FL → All Doctors near 33462, FL

Todd Simon: Common Questions

Does Dr. Simon accept Medicare?
Yes. Dr. Simon is enrolled with Medicare and listed in the CMS Provider Enrollment, Chain, and Ownership System (PECOS). Whether a specific Medicare Advantage plan covers Dr. Simon depends on that plan's provider network. Compare Medicare plans near 33462, FL →
Where is Dr. Simon's office?
Dr. Simon practices at 5401 S CONGRESS AVE, SUITE 211, Atlantis, FL 33462. Phone: (561) 964-8221.
What Medicare plans does Dr. Simon accept?
Original Medicare (Parts A & B) is accepted. Medicare Advantage plan acceptance varies by carrier and plan year. Call the office at (561) 964-8221 to confirm your specific plan is accepted, or compare all Medicare plans near 33462, FL to see available options.
Does Dr. Simon offer telehealth visits?
CMS does not currently list Dr. Simon as offering telehealth. Call the office at (561) 964-8221 to confirm whether virtual visits are available.
How experienced is Dr. Simon?
Dr. Simon graduated in 1990 and has been practicing for approximately 36 years. In the latest CMS reporting year, Dr. Simon treated 791 Medicare patients across 12 distinct procedure types.
How do I know if Dr. Simon is in-network for my Medicare plan?
Network status varies by plan. The best verification steps: (1) check your plan's provider directory at the carrier's website, (2) call the office at (561) 964-8221 and ask which plans they currently accept, and (3) call the number on the back of your Medicare card. Print our doctor questions checklist →

About the Reviewer

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward reviews all doctor profiles and methodology for data accuracy. Every Medicare provider page on this site — including the utilization statistics, hospital affiliations, and geocoded practice address — goes through his data-validation pipeline before publication. We display only publicly available CMS data; you never need to enter personal information to see any of it.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org (neighborhood data), CrimeGrade.org (block-level safety analytics), and ISPReports.org (broadband availability for telehealth). Those sister sites power the location and telehealth-readiness context on this page.

View full profile →LinkedIn

Data sources: CMS NPPES (2026), CMS Medicare Provider Utilization & Payment Data (2023), CMS Physician Compare, CrimeGrade.org, BestNeighborhood.org, ISPReports.org. This page is for informational purposes only. Always verify coverage directly with the plan and practice. Read our full methodology →Privacy policy

Medicare Resources

Choosing the right Medicare plan involves more than just doctor coverage. These guides help you evaluate the full picture:

Medicare Plans for Conditions Treated by Gastroenterology Specialists

See which Medicare plans score highest for conditions commonly managed by this specialty in 33462, FL:

Does your Medicare plan cover Dr. Simon?

Compare Plans near 33462, FL →