Dr. Katherine E. Simon
- Gender: Female
- Sole propriator: Yes
- NPI: 1427131259
Dr. Katherine E. Simon MD
General Practitioner
She is located at 4900 Mueller Boulevard Room 4B-062 in Austin, TX 78723. Her National Provider Identifier (NPI) number is 1427131259. Appointment can be made via the phone number (512) 324-0000.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Katherine E. Simon as in-network for the following 2026 plans.
Health plans
Baylor Scott and White Health Plan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Baylor Scott and White Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BSW Diabetes Care Gold HMO 014 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 004 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 012 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 008 | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 005 | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 006 | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 009 | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 25 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients at some locations |
| MyBlue Health Bronze℠ 402 (13 plan variants) | HMO · Expanded Bronze | Myblue Health | Not accepting new patients |
| MyBlue Health Bronze℠ Standard (11 plan variants) | HMO · Expanded Bronze | Myblue Health | Not accepting new patients |
| MyBlue Health Gold℠ 403 (13 plan variants) | HMO · Gold | Myblue Health | Not accepting new patients |
| MyBlue Health Gold℠ Standard (11 plan variants) | HMO · Gold | Myblue Health | Not accepting new patients |
| MyBlue Health Silver℠ 405 (13 plan variants) | HMO · Silver | Myblue Health | Not accepting new patients |
| MyBlue Health Silver℠ Standard (11 plan variants) | HMO · Silver | Myblue Health | Not accepting new patients |
Harbor Health
Network data as of Sep 14, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health S1 $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Silver | Preferred | Accepting new patients |
| Harbor Health S1S $40 PCP $40 Mental Health Office Visit $40 Express Care | HMO · Silver | Preferred | Accepting new patients |
Sendero Health Plans, Local Nonprofit
Network data as of Sep 14, 2026, as reported by the insurer.
Show all 14 plans from Sendero Health Plans, Local Nonprofit
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Katherine E. Simon is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Katherine E. Simon is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Bills through: Pediatrix Medical Group Of Texas Billing Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Mallinckrodt | $25 |
| Actavis Pharma | $22 |
| Janssen | $18 |
Other
| Food and Beverage | $66 |
Looking for more General Practitioners?
There are 8 other general practitioners in this region.
- Gender: Female
- Address: #200 1301 Barbara Jordan Boulevard Austin, 78723, TX
- Gender: Female
- Address: #100 5339 North Interstate Highway 35 Austin, 78723, TX
- Gender: Male
- Address: Neonatal Office 1201 West 38th Street Austin, 78705, TX
- Gender: Male
- Address: #200 1301 Barbara Jordan Boulevard Austin, 78723, TX
- Gender: Male
- Address: 7940 Floyd Curl Drive Suite 100 San Antonio, 78229, TX
- Gender: Male
- Address: 1201 West 38th Street Austin, 78705, TX
- Gender: Female
- Address: Suite D103 6448 East Highway 290 Austin, 78723, TX
- Gender: Female
- Address: 1600 West 38th Street Suite 422 Austin, 78731, TX
Questions & Answers
Where can you meet with Dr. Katherine E. Simon?
Dr. Katherine E. Simon's office is located at 4900 Mueller Boulevard Room 4B-062 in Austin, TX 78723.
Does Dr. Katherine E. Simon accept insurance?
Dr. Katherine E. Simon is listed in-network for 53 ACA Marketplace (Obamacare/HealthCare.gov) plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Sendero Health Plans, Local Nonprofit. See the Marketplace plans section for details.