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PROVIDER PROFILE · NPI 1538110572

Mark SimonMD

PRACTICEPREMIER EYE CARE, PLLCSee all providers at this practice →
OphthalmologyWinchester, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
578
Beneficiaries
—
Total drug cost
$10K
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Prednisolone Acetate308 claims
Ofloxacin270 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
175
Unique beneficiaries
—
Total services
224
Distinct HCPCS
7
Medicare payment
$35K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 186 Ophthalmology providers in KY — bottom quintile (cohort median 1,932).
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
PhysicianPatientsVisits
Dwight Burchett
Optometry · Richmond, KY
53202
William Reynolds
Optometry · Richmond, KY
44199
Anthony Harris
Optometry · Richmond, KY
43171
SAINT JOSEPH HEALTH SYSTEM, INC3350
Randall Puckett
Optometry · Winchester, KY
31114
New Lexington Clinic, Psc
Clinical Laboratory · Lexington, KY
2760
Tracey Spafford
Certified Registered Nurse Anesthetist (CRNA) · Edgewood, KY
2583
Labone Of Ohio Inc
Clinical Laboratory · Cincinnati, OH
2548
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC2362
JONES, KATHRYN2042
SAINT JOSEPH HEALTH SYSTEM, INC1931
Michael Hall
Certified Registered Nurse Anesthetist (CRNA) · Lexington, KY
1635
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.