Daniel Simon, MD
NPI 1205891512 · Ophthalmology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Simon, MD is a Ophthalmology Physician provider in Durham, NC (NPI 1205891512).
Provider details
- NPI number
- 1205891512
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TL28671 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,943 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 484 | $117 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 238 | $34 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 237 | $119 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 187 | $385 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 184 | $156 |
| Established Patient Problem Focused Exam of Visual System92012 | 178 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 486 | 120 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 137 | 41 |
| Cyclosporinebrand: Restasis | 81 | 53 |
| Prednisolone Acetate | 55 | 49 |
| Brimonidine Tartrate | 52 | 19 |
| Bimatoprostbrand: Lumigan | 48 | 13 |
| Dorzolamide Hcl | 37 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$57 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2009-09-22
Frequently asked questions
- What is Daniel Simon's NPI number?
- Daniel Simon's National Provider Identifier (NPI) is 1205891512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Simon's specialty?
- Daniel Simon is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Daniel Simon located?
- Daniel Simon's practice location on file with NPPES is 4102 N Roxboro St, Durham, NC 27704-2122.
- What is Daniel Simon's phone number?
- The practice phone number listed in the NPPES registry for Daniel Simon is (919) 595-2000.
- Does Daniel Simon accept Medicare?
- Daniel Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Simon's NPI active?
- Yes — Daniel Simon's NPI (1205891512) is active in the NPPES registry as of the last update on 2009-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.