PROVIDER PROFILE · NPI 1700947256

James Simon

PRACTICEJAMES A SIMON, MD, PCSee all providers at this practice →

Obstetrics & GynecologyWashington, DCI

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

Total Rx claims

572

Beneficiaries

—

Total drug cost

$75K

Distinct drugs

Brand share

71.2%

Top prescribed drugs

Progesterone, Micronized125 claims

Estradiol123 claims

Estradiol84 claims

Estradiol39 claims

Valacyclovir Hcl26 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$158K

Payment records

125

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$84K

Travel and Lodging$29K

Honoraria$21K

Consulting Fee$19K

Food and Beverage$5K

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$84K

Travel and Lodging$29K

Honoraria$21K

Consulting Fee$19K

Food and Beverage$5K

REFERRAL NETWORK

Where James 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). 3 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	29	63
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	26	52
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE	15	21

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