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PROVIDER PROFILE · NPI 1467440107

Gary SimonM.D.

PRACTICERESURGENS, LLCSee all providers at this practice →
Orthopedic SurgeryAustell, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
520
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
10
Brand share
29.4%
Top prescribed drugs
Cephalexin95 claims
Diclofenac Sodium86 claims
Cyclobenzaprine Hcl74 claims
Oxycodone Hcl/Acetaminophen67 claims
Celecoxib49 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,925
Unique beneficiaries
—
Total services
40,176
Distinct HCPCS
18
Medicare payment
$193K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 640 Orthopedic Surgery providers in GA — top quintile (cohort median 2,020).
QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
82.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
REFERRAL NETWORK

Where Gary 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). 7 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COBB HOSPITAL, INC103361
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2699
NORTHSIDE HOSPITAL, INC.2030
PAULDING MEDICAL CENTER, INC.1427
SOLSTAS LAB PARTNERS GROUP LLC1240
Michael Piansky
Internal Medicine · Douglasville, GA
1229
Michael Hardee
Cardiology · Austell, GA
1148
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COBB HOSPITAL, INC80224
DOUGLAS HOSPITAL, INC.57174
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
47119
KENNESTONE HOSPITAL, INC.36101
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2791
Northwest Georgia Orthopaedic Surgery Center, Llc
Ambulatory Surgical Center · Marietta, GA
2152
NORTHSIDE HOSPITAL, INC.1530
Daniel Richman
Anesthesiology · Atlanta, GA
1548
PAULDING MEDICAL CENTER, INC.1432
Puckett Emergency Medical Services, Llc
Ambulance Service Provider · Austell, GA
1326
Janice Warner
Dermatology · Austell, GA
1215
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.