What is Theresa Simon's specialty?

Theresa Simon (NPI 1356423016) is a Medicare-billing provider whose primary specialty is Internal Medicine in Point Pleasant, WV.

Where does Theresa Simon practice?

Theresa Simon practices in Point Pleasant, WV, based on the location reported in the CMS Medicare provider datasets for NPI 1356423016.

How much does Medicare pay Theresa Simon?

Medicare Part B utilization, prescribing (Part D), MIPS quality scores, and industry payments for Theresa Simon (NPI 1356423016) are detailed on this CareTrace profile.

PROVIDER PROFILE · NPI 1356423016

Theresa Simon

Internal MedicinePoint Pleasant, WVI

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

Total Rx claims

8,533

Beneficiaries

—

Total drug cost

$788K

Distinct drugs

120

Brand share

21.4%

Top prescribed drugs

Levothyroxine Sodium434 claims

Amlodipine Besylate370 claims

Losartan Potassium348 claims

Atorvastatin Calcium333 claims

Rosuvastatin Calcium291 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$326

Payment records

By payment type

Food and Beverage$326

Top paying entities

Food and Beverage$326

REFERRAL NETWORK

Where Theresa Simon'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). 6 inbound referrers · 21 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Irvin Snyder Internal Medicine · Ripley, WV	58	172
STEWART, EDWARD	30	74
James Gaal Internal Medicine · Ripley, WV	17	57
NIELSEN, PAUL	17	35
Carl Overmiller General Surgery · Ripley, WV	15	40
Brandon Cestaric Family Practice · Ripley, WV	14	76

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
COMMUNITY HEALTH ASSOCIATION	212	1,396
Mark Younis Diagnostic Radiology · Ripley, WV	123	537
Arif Malik Internal Medicine · Ravenswood, WV	44	209
Irvin Snyder Internal Medicine · Ripley, WV	43	130
Jackson County Commission Ambulance Service Provider · Ripley, WV	42	117
CHARLESTON AREA MEDICAL CENTER INC	33	88
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION	26	69
James Gaal Internal Medicine · Ripley, WV	22	83
AMEDISYS WEST VIRGINIA, L.L.C.	21	60
MOSBERG, STEPHEN	20	46
HOLZER HOSPITAL FOUNDATION	19	58
Symphony Diagnostic Services No 1 Llc Portable X-Ray Supplier · Sparks, MD	15	36

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events