Simon Edelstein, MD
NPI 1417992751 · Infectious Disease Physician · Aventura, FL
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simon Edelstein, MD is a Infectious Disease Physician provider in Aventura, FL (NPI 1417992751).
Provider details
- NPI number
- 1417992751
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME0040514 (FL)
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
1,416 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 926 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 153 | $177 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 106 | $121 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 105 | $51 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 95 | $135 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Emtricitab/Rilpiviri/Tenof Alabrand: Odefsey | 62 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 62 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 46 |
| Efavirenz/Emtricit/Tenofovr Dfbrand: Efavirenz-Emtric-Tenofov Disop | 38 |
| Dolutegravir/Rilpivirinebrand: Juluca | 35 |
| Abacavir/Dolutegravir/Lamivudibrand: Triumeq | 34 |
| Dolutegravir Sodiumbrand: Tivicay | 15 |
| Atorvastatin Calcium | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$148 across 6 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
- 2006-06-19
- Last updated
- 2009-10-26
Frequently asked questions
- What is Simon Edelstein's NPI number?
- Simon Edelstein's National Provider Identifier (NPI) is 1417992751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Edelstein's specialty?
- Simon Edelstein is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Simon Edelstein located?
- Simon Edelstein's practice location on file with NPPES is 20814 W Dixie Highway, Aventura, FL 33180.
- What is Simon Edelstein's phone number?
- The practice phone number listed in the NPPES registry for Simon Edelstein is (305) 933-8433.
- Does Simon Edelstein accept Medicare?
- Simon Edelstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simon Edelstein's NPI active?
- Yes — Simon Edelstein's NPI (1417992751) is active in the NPPES registry as of the last update on 2009-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.