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PROVIDER PROFILE · NPI 1265433015

Michael SimonsMD

PRACTICECUMBERLAND GI, PSCSee all providers at this practice →
GastroenterologyCorbin, KYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 180080
Hospital
REFERRAL NETWORK

Where Michael Simons's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 27 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Cumberland Valley Surgical Center, Llc
Ambulatory Surgical Center · Corbin, KY
351437
P & C Labs, Llc
Clinical Laboratory · Lexington, KY
284345
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
169324
Terence Casey
Pathology · New Orleans, LA
168306
Lonnie Bargo
Diagnostic Radiology · Corbin, KY
5594
NPI 11544391724654
Labone Of Ohio Inc
Clinical Laboratory · Cincinnati, OH
3999
Todd Giesecke
Certified Registered Nurse Anesthetist (CRNA) · Nashville, TN
3642
Bobby Turner
Internal Medicine · Corbin, KY
36159
NPI 11745815243388
Daniel Whitley
Internal Medicine · Corbin, KY
3164
Pramod Reddy
Cardiology · Corbin, KY
3182
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Reida Sowden
Certified Registered Nurse Anesthetist (CRNA) · London, KY
202226
BAPTIST HEALTHCARE SYSTEM, INC195451
Janice Hedayati
Nurse Practitioner · Corbin, KY
176222
Terence Casey
Pathology · New Orleans, LA
73109
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
72113
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
69117
DANIEL, WILLIAM68117
Lonnie Bargo
Diagnostic Radiology · Corbin, KY
61129
Harold Reedy
Diagnostic Radiology · Corbin, KY
61121
SAINT JOSEPH HEALTH SYSTEM, INC4683
Bobby Turner
Internal Medicine · Corbin, KY
45225
Steven Morton
Internal Medicine · Corbin, KY
43142
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
465
Unique beneficiaries
—
Total services
551
Distinct HCPCS
9
Medicare payment
$70K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 167 Gastroenterology providers in KY — below median (cohort median 658).
PRESCRIBING · PART D · 2024
Total Rx claims
1,415
Beneficiaries
—
Total drug cost
$482K
Distinct drugs
27
Brand share
20.8%
Top prescribed drugs
Pantoprazole Sodium418 claims
Baclofen230 claims
Azathioprine73 claims
Esomeprazole Magnesium59 claims
Omeprazole56 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
93
By payment type
Food and Beverage$1K