Michael Simon, MD
NPI 1538185657 · Internal Medicine Physician · Sayreville, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Simon, MD is a Internal Medicine Physician provider in Sayreville, NJ (NPI 1538185657).
Provider details
- NPI number
- 1538185657
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA05520400 (NJ)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,513 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 | 678 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 260 | $95 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 141 | $196 |
| Administration of Influenza Virus VaccineG0008 | 82 | $36 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 78 | $9 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 142 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 631 | 188 |
| Amlodipine Besylate | 362 | 109 |
| Levothyroxine Sodium | 278 | 87 |
| Metoprolol Succinate | 241 | 64 |
| Losartan Potassium | 195 | 56 |
| Rosuvastatin Calcium | 194 | 62 |
| Apixaban |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$12,758 across 281 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
Additional practice locations (1)
- 100 Perrine RoadOld Bridge, NJ 08857Phone: (732) 707-4271Fax: (732) 707-4270
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2024-02-13
- Certified
- 2024-02-12
Frequently asked questions
- What is Michael Simon's NPI number?
- Michael Simon's National Provider Identifier (NPI) is 1538185657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Simon's specialty?
- Michael Simon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Simon located?
- Michael Simon's practice location on file with NPPES is 53 Main St, Sayreville, NJ 08872-1559.
- What is Michael Simon's phone number?
- The practice phone number listed in the NPPES registry for Michael Simon is (732) 254-6200.
- Does Michael Simon accept Medicare?
- Michael Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Simon's NPI active?
- Yes — Michael Simon's NPI (1538185657) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.