Dr. Simon Fenton, MD
150 Emerson Ave E, Saint Paul, MN 55118 • +1-277-555-5420
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Paul Percentiles
NPI #1083640684 • CBSA Regional • Family Practice
Dr. Simon Fenton, MD (NPI #1083640684) practices Family Practice in Saint Paul, MN (55118) with sub-specialty concentration in 107 Active CMS HCPCS Codes, recording 1,635 annual CMS services across 184 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75.51th Saint Paul percentile) (-0.14σ vs MN state mean, 65.23th statewide percentile).
Dr. Fenton's longitudinal care intensity (8.9 billed units per patient across 184 individuals) centers on 99214 (648 annual units) and 99213 ($55–$75 cash range).
Self-pay new patient consultations with Dr. Fenton (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.77/5 modern protocol openness score across 14 patient logs.
Patients evaluating Dr. Simon Fenton in ZIP 55118 note 8 years of post-doctoral tenure (null, 2018) alongside 8.9 annual CMS procedures per patient.
Compared against Saint Paul, MN Family Practice peers
1,635 annual services across 184 beneficiaries
Standard deviations from MN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 648 | 75.51th | $72 – $98 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 479 | 79.51th | $55 – $75 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 185 | 78.51th | $82 – $113 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 139 | 70.51th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 93 | 80.51th | $98 – $135 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (107 HCPCS billing breadth) | 91 | 75.51th | $65 – $94 |
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Dr. Simon Fenton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fenton National Provider Identifier | NPI #1083640684 (MD) | CMS NPPES Registry (55118) |
| Dr. Fenton Saint Paul CMS Volume Rank | 75.51th Pct (1,635 CMS svcs; Z -0.142σ) | CMS Medicare Part B (MN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Paul, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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