Dr. Gilbert Simoni, MD
555 Marin St Ste 270, Thousand Oaks, CA 91360 • +1-311-555-6255
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Thousand Oaks Percentiles
NPI #1316922958 • CBSA Regional • Gastroenterology
Dr. Gilbert Simoni, MD (NPI #1316922958) practices Gastroenterology in Thousand Oaks, CA (91360) with sub-specialty concentration in 58 Active CMS HCPCS Codes, recording 1,711 annual CMS services across 668 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Thousand Oaks percentile) (-0.09σ vs CA state mean, 71.78th statewide percentile).
Granular CPT/HCPCS billing distribution at 555 Marin St Ste 270 shows Dr. Gilbert Simoni's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 633x/yr, 40th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 428x/yr, $1025–$1404).
At 555 Marin St Ste 270 (91360), Dr. Gilbert Simoni, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$239.00 per new consult (4.72/5 bedside rating).
Clinical background for Dr. Simoni (MD, NPI #1316922958) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 555 Marin St Ste 270.
Compared against Thousand Oaks, CA Gastroenterology peers
1,711 annual services across 668 beneficiaries
Standard deviations from CA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 633 | 40th | $425 – $583 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 428 | 45th | $1025 – $1404 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 359 | 38th | $851 – $1166 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 171 | 35th | $1141 – $1563 |
| 99204 | New Patient Digestive & Hepatology Consultation | 120 | 40th | $599 – $821 |
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Dr. Gilbert Simoni, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simoni National Provider Identifier | NPI #1316922958 (MD) | CMS NPPES Registry (91360) |
| Dr. Simoni Thousand Oaks CMS Volume Rank | 40.00th Pct (1,711 CMS svcs; Z -0.086σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Thousand Oaks, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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