What is Paul Simon's specialty?

Paul Simon (NPI 1417908468) is a Medicare-billing provider whose primary specialty is Pathology in Toms River, NJ.

Where does Paul Simon practice?

Paul Simon practices in Toms River, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1417908468.

How much does Medicare pay Paul Simon?

Paul Simon (NPI 1417908468) received approximately $64K in total Medicare Part B payments, serving 968 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1417908468

Paul SimonD.O.

PathologyToms River, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,494

Unique beneficiaries

—

Total services

2,321

Distinct HCPCS

Medicare payment

$62K

Peer benchmark

Total Medicare services vs. 264 Pathology providers in NJ — above median (cohort median 2,025).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

96.6

Cost

81.8

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.86%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Paul 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). 75 inbound referrers · 74 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CENTRASTATE MEDICAL CENTER, INC	616	1,308
Janet Spector Diagnostic Radiology · Freehold, NJ	119	196
Kenneth Romano Diagnostic Radiology · Freehold, NJ	93	154
Jeffrey Friedenberg Diagnostic Radiology · Freehold, NJ	90	141
KEKLAK, C.	89	152
Peter Kouveliotes Diagnostic Radiology · Freehold, NJ	82	129
Peter Mezzacappa Diagnostic Radiology · Freehold, NJ	80	114
Kenneth Tomkovich Diagnostic Radiology · Freehold, NJ	77	153
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	71	155
Thomas Westerman Certified Registered Nurse Anesthetist (CRNA) · Freehold, NJ	64	96
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	62	114
Frank Coppolino Pulmonary Disease · Freehold, NJ	59	157

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CENTRASTATE MEDICAL CENTER, INC	206	429
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION	67	148
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	60	156
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	58	96
Stanley Rich Diagnostic Radiology · Freehold, NJ	56	84
Nirav Shah Pulmonary Disease · Freehold, NJ	42	146
Kenneth Tomkovich Diagnostic Radiology · Freehold, NJ	42	73
Janet Spector Diagnostic Radiology · Freehold, NJ	41	57
Kenneth Barofsky Pulmonary Disease · Freehold, NJ	38	88
KEKLAK, C.	35	54
Jeffrey Friedenberg Diagnostic Radiology · Freehold, NJ	35	45
HEALTH AFFILIATES, INC.	34	83

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