What is Mark Simon's specialty?

Mark Simon (NPI 1538110572) is a Medicare-billing provider whose primary specialty is Ophthalmology in Winchester, KY.

Where does Mark Simon practice?

Mark Simon practices in Winchester, KY, based on the location reported in the CMS Medicare provider datasets for NPI 1538110572.

How much does Medicare pay Mark Simon?

Mark Simon (NPI 1538110572) received approximately $35K in total Medicare Part B payments, serving 67 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538110572

Mark SimonMD

PRACTICEPREMIER EYE CARE, PLLCSee all providers at this practice →

OphthalmologyWinchester, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

175

Unique beneficiaries

—

Total services

224

Distinct HCPCS

Medicare payment

$35K

Peer benchmark

Total Medicare services vs. 186 Ophthalmology providers in KY — bottom quintile (cohort median 1,932).

PRESCRIBING · PART D · 2024

Total Rx claims

578

Beneficiaries

—

Total drug cost

$10K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Prednisolone Acetate308 claims

Ofloxacin270 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Mark 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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Dwight Burchett Optometry · Richmond, KY	53	202
William Reynolds Optometry · Richmond, KY	44	199
Anthony Harris Optometry · Richmond, KY	43	171
SAINT JOSEPH HEALTH SYSTEM, INC	33	50
Randall Puckett Optometry · Winchester, KY	31	114
New Lexington Clinic, Psc Clinical Laboratory · Lexington, KY	27	60
Tracey Spafford Certified Registered Nurse Anesthetist (CRNA) · Edgewood, KY	25	83
Labone Of Ohio Inc Clinical Laboratory · Cincinnati, OH	25	48
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC	23	62
JONES, KATHRYN	20	42
SAINT JOSEPH HEALTH SYSTEM, INC	19	31
Michael Hall Certified Registered Nurse Anesthetist (CRNA) · Lexington, KY	16	35

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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