Robert Simon, MD
NPI 1538242037 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Simon, MD is a Internal Medicine Physician provider in Toms River, NJ (NPI 1538242037).
Provider details
- NPI number
- 1538242037
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA05304800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,386 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 623 | $100 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 277 | $146 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 183 | $141 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 104 | $16 |
| Administration of Influenza Virus VaccineG0008 | 97 | $34 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 440 | 134 |
| Levothyroxine Sodium | 302 | 88 |
| Metformin Hcl | 250 | 76 |
| Lisinopril | 247 | 70 |
| Amlodipine Besylate | 245 | 68 |
| Alprazolam | 232 | 70 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Robert Simon's NPI number?
- Robert Simon's National Provider Identifier (NPI) is 1538242037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Simon's specialty?
- Robert Simon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Simon located?
- Robert Simon's practice location on file with NPPES is 20 Hospital Dr, Toms River, NJ 08755-6434.
- What is Robert Simon's phone number?
- The practice phone number listed in the NPPES registry for Robert Simon is (732) 281-0530.
- Does Robert Simon accept Medicare?
- Robert Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Simon's NPI active?
- Yes — Robert Simon's NPI (1538242037) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.