Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ilana Adina Simon , PA-C

Physician Assistant โ€ข Bellevue, WA

Active NPI 1073966966 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1200 112th Ave Ne Ste C160
Bellevue, WA 980043742

Call 4254531039 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 112th Ave Ne Ste C160

Bellevue, WA 980043742

Telephone 4254531039
Organization at the Same NPPES Address or Phone
Optum Care Washington Pllc Facility NPI 1689144388

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Family Health Centers Of San Diego Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

89 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $16,874 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $12,643 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,815 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$23,795 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ilana Simon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ilana Simon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bellevue and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 37 clinicians with data). Median for this group: 139. Middle half: 53 to 373.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 37 clinicians with data). Median for this group: $14,244. Middle half: $5,301 to $20,866.

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 37 clinicians with data). Median for this group: $8,851. Middle half: $3,817 to $14,947.

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 57 clinicians with data). Median for this group: 94. Middle half: 43 to 232.

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 57 clinicians with data). Median for this group: $1,438. Middle half: $370 to $19,760.

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

83 active clinicians are listed under Physician Assistant with a practice address in Bellevue, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellevue

19.3% of these 83 clinicians have the CMS telehealth indicator.

67.5% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
74 58 $18.00 $8.65
80053 Blood test, comprehensive group of blood chemicals
53 44 $22.25 $10.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
51 40 $351.41 $111.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
50 42 $238.63 $84.22
80061 Blood test, lipids (cholesterol and triglycerides)
46 40 $32.50 $13.12
84443 Blood test, thyroid stimulating hormone (tsh)
45 41 $37.50 $16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
35 34 $14.50 $6.30
83036 Hemoglobin a1c level
34 28 $21.75 $9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
26 26 $314.50 $121.07
84439 Thyroxine (thyroid chemical), free
19 15 $19.75 $8.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
16 15 $17.50 $7.61
82043 Urine microalbumin (protein) level
13 12 $13.00 $5.66
82570 Creatinine level to test for kidney function or muscle injury
13 12 $11.75 $5.08
82306 Vitamin d-3 level
12 11 $66.25 $29.01

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 97 8,474 $1,012.43 27
Amlodipine Besylate Amlodipine Besylate 71 5,434 $687.42 20
Atorvastatin Calcium Atorvastatin Calcium 66 5,340 $603.12 27
Trazodone Hcl Trazodone Hcl 62 4,070 $495.79 23
Meloxicam Meloxicam 59 3,435 $460.69 19
Losartan Potassium Losartan Potassium 56 3,944 $712.42 16
Zolpidem Tartrate Zolpidem Tartrate 47 1,700 $439.24 13
Lisinopril Lisinopril 43 3,760 $220.62 13
Estradiol Estradiol 37 3,419 $1,628.76 13
Metformin Hcl Er Metformin Hcl 37 2,514 $685.14 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 37 3,470 $305.27 13
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 34 3,180 $783.12 11
Hydrochlorothiazide Hydrochlorothiazide 32 2,114 $224.90 โ€”
Sertraline Hcl Sertraline Hcl 31 2,850 $428.42 โ€”
Omeprazole Omeprazole 27 2,144 $481.37 โ€”
Simvastatin Simvastatin 26 2,370 $311.02 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 26 758 $1,014.31 โ€”
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 25 500 $127.48 โ€”
Potassium Chloride Potassium Chloride 25 1,255 $606.66 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 25 836 $1,371.97 11
Gabapentin Gabapentin 23 1,716 $339.47 โ€”
Famotidine Famotidine 23 1,080 $386.22 โ€”
Citalopram Hbr Citalopram Hydrobromide 22 1,320 $344.54 โ€”
Metoprolol Succinate Metoprolol Succinate 22 1,456 $493.60 โ€”
Fluticasone Propionate Fluticasone Propionate 21 1,560 $693.88 11

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA60661878

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA 64040

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251216003263

Enrollment State Jurisdiction

CA

PECOS Control ID

3375824998

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Family Health Centers Of San Diego Inc

2325 Commercial St, San Diego, CA 921131195

Phone: 6195152422

Family Health Centers Of San Diego Inc

1809 National Ave, San Diego, CA 921132113

Phone: 6195152300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
NPI 1912944836

Doctor of Medicine (M.D.)

Suzan Boyd , PA-C

Family Medicine

NPI 1063435295

Physician Assistant (Certified)

Renee Cantarini , ARNP

Nurse Practitioner - Family

NPI 1588602569

Advanced Registered Nurse Practitioner

Shih-Yu Chou , NP

Nurse Practitioner - Adult Health

NPI 1013528660

Nurse Practitioner

Dr. Janine Cooley , MD

Family Medicine

NPI 1013905009

Doctor of Medicine (M.D.)

Dr. Antony Egnal , MD

Family Medicine

NPI 1821086810

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Business Mailing Address April 23, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Physician Assistant (license number reported to NPPES: CA 64040)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Physician Assistant (license number reported to NPPES: WA 60661878)

๐Ÿ“
Updated Practice Location December 19, 2019

Registered at 1200 112TH AVE NE STE C160, BELLEVUE, WA 980043742 (Tel: 4254531039)

๐Ÿ“
Updated Business Mailing Address December 19, 2019

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253048431)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Physician Assistant (license number reported to NPPES: WA PA60661878)

โœ…
NPI Profile Active November 24, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 24, 2016

Registered at 4111 194TH ST SW, LYNNWOOD, WA 980364604 (Tel: 4255516200)

๐Ÿ“
Business Mailing Address (Initial Record) November 24, 2016

Registered at 4111 194TH ST SW, LYNNWOOD, WA 980364604 (Tel: 4255516200)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 24, 2016

Recorded as ILANA SIMON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2016

Physician Assistant (license number reported to NPPES: WA 60661878)

๐ŸŸข
Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073966966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: April 23, 2026
Sole Proprietor: No

Other Physician Assistants in Bellevue

All Physician Assistants in Bellevue

More public profiles in Washington

Directory navigation, in NPI number order.

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.