Stuart Simon, M.D.
NPI 1225036122 · Pulmonary Disease Physician · Austell, GA
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stuart Simon, M.D. is a Pulmonary Disease Physician provider in Austell, GA (NPI 1225036122).
Provider details
- NPI number
- 1225036122
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 032053 (GA)
Specialties & taxonomies
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
1,783 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 Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 320 | $126 |
| Test to Measure Expiratory Airflow and Volume94010 | 269 | $27 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 249 | $56 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 176 | $178 |
| X-Ray of Chest, 2 Views71046 | 161 | $17 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 838 | 153 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 383 | 127 |
| Prednisone | 229 | 127 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 132 | 24 |
| Tiotropium Bromidebrand: Spiriva Respimat | 100 | 20 |
| Doxycycline Hyclate | 89 | 74 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$397 across 15 records (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
- 2005-07-13
- Last updated
- 2015-11-09
Frequently asked questions
- What is Stuart Simon's NPI number?
- Stuart Simon's National Provider Identifier (NPI) is 1225036122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stuart Simon's specialty?
- Stuart Simon is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Stuart Simon located?
- Stuart Simon's practice location on file with NPPES is 3820 Medical Park Dr, Austell, GA 30106-1110.
- What is Stuart Simon's phone number?
- The practice phone number listed in the NPPES registry for Stuart Simon is (770) 948-6041.
- Does Stuart Simon accept Medicare?
- Stuart Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stuart Simon's NPI active?
- Yes — Stuart Simon's NPI (1225036122) is active in the NPPES registry as of the last update on 2015-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.