PROVIDER PROFILE · NPI 1861454308

Richard SimonsD.O.

PRACTICENANTICOKE CARDIOLOGY, P.A.See all providers at this practice →

CardiologySeaford, DEI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

5,583

Unique beneficiaries

—

Total services

15,763

Distinct HCPCS

Medicare payment

$463K

Peer benchmark

Total Medicare services vs. 75 Cardiology providers in DE — top quintile (cohort median 4,644).

PRESCRIBING · PART D · 2024

Total Rx claims

12,065

Beneficiaries

—

Total drug cost

$2.4M

Distinct drugs

Brand share

29.7%

Top prescribed drugs

Atorvastatin Calcium1,115 claims

Apixaban838 claims

Metoprolol Succinate823 claims

Rosuvastatin Calcium686 claims

Ezetimibe675 claims

QUALITY · MIPS · 2024

Final MIPS score

82.9

Quality

74.5

Cost

75.3

Improvement activities

40.0

Promoting interop.

92.0

Payment adjustment

0.33%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

REFERRAL NETWORK

Where Richard Simons'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). 132 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
TIDALHEALTH NANTICOKE, INC	2,160	8,863
Ivan Pena Sing Cardiology · Easton, MD	501	1,462
Gabriel Sardi Internal Medicine · Easton, MD	405	1,167
NIELSEN, MARVIN	288	811
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	275	591
Seaford Volunteer Fire Department Inc. Ambulance Service Provider · Seaford, DE	272	826
MACKENZIE, JOHN	244	907
BAUER, FREDERICK	218	693
Francis Martin Emergency Medicine · Milford, DE	216	707
Simmi Chawla Diagnostic Radiology · Salisbury, MD	214	542
Gerard Hogan Diagnostic Radiology · Salisbury, MD	211	521
Jason Linn Emergency Medicine · Litchfield, IL	209	668

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