What is Richard Simons's specialty?

Richard Simons (NPI 1861454308) is a Medicare-billing provider whose primary specialty is Cardiology in Seaford, DE.

Where does Richard Simons practice?

Richard Simons practices in Seaford, DE, based on the location reported in the CMS Medicare provider datasets for NPI 1861454308.

How much does Medicare pay Richard Simons?

Richard Simons (NPI 1861454308) received approximately $475K in total Medicare Part B payments, serving 2,730 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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