Doctor profile · Federal record
Dr. Jennifer Simon, O.D.
Optometrist (CMS: Optometry) · Grand Rapids, MI
- NPI 1194012401
- Accepts Medicare
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3935 Lake Michigan Dr Nw Ste 3
Grand Rapids, MI 495347844
(872) 806-1663 - Additional location
-
2974 28Th St Se, Ste A
Kentwood, MI 495121664
(616) 949-2120 - Mailing address
-
135 Alewa Dr Nw, Ste A
Grand Rapids, MI 495045801
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- July 23, 2019
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Michigan #4901004645
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194012401. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
176
Distinct HCPCS
6
Medicare allowed
$15,054
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 76 | 75 | $111 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 32 | 22 | $80 | |
92134 |
Imaging of retina | 26 | 26 | $38 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $115 | |
92133 |
Imaging of optic nerve | 13 | 13 | $35 | |
92083 |
Exam of visual field with extended testing | 12 | 12 | $58 |
In context: peer comparison
Among 31 peers in Grand Rapids Optometrist, average services per provider: 43. This provider delivers 4.1× the peer median.Open Payments
Industry payments received
All-time total
$159
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 3 | $52.79 | |
| CooperVision INC. | 2 | $32.41 | |
| Oyster Point Pharma, INC. | 1 | $31.07 | |
| TearLab Corp | 1 | $26.89 | |
| Lkc Technologies, INC. | 1 | $15.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
17
Total drug cost
$905
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 52 | 17 | $905 |
Frequently asked questions
What is Dr. Jennifer Simon's medical specialty?
Dr. Jennifer Simon practices Optometrist in Grand Rapids, MI.
Where does Dr. Jennifer Simon practice?
Dr. Jennifer Simon practices at 3935 Lake Michigan Dr Nw Ste 3, Grand Rapids, MI 495347844. Office phone: 8728061663.
What is Dr. Jennifer Simon's NPI?
Dr. Jennifer Simon's National Provider Identifier (NPI) is 1194012401, issued by NPPES.
Does Dr. Jennifer Simon accept Medicare assignment?
Yes. Dr. Jennifer Simon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Simon commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99213); Imaging of retina (HCPCS 92134). Source: CMS Medicare Physician & Other Practitioners file.