Simon Fishman, M.D.
NPI 1578654968 · Specialist · Alexandria, VA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simon Fishman, M.D. is a Specialist provider in Alexandria, VA (NPI 1578654968).
Provider details
- NPI number
- 1578654968
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101225797 (VA)
Specialties & taxonomies
Other Service Providers
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,164.5 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 | 978 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 623 | $90 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 251 | $175 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 162 | $189 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 156 | $104 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 40 | 23 |
| Baclofen | 33 | 11 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 28 | 17 |
| Onabotulinumtoxinabrand: Botox | 25 | — |
| Mirtazapine | 25 | 14 |
| Nortriptyline Hcl | 20 | — |
| Primidone | 18 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14,265 across 237 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
- 2006-09-28
- Last updated
- 2015-12-21
Frequently asked questions
- What is Simon Fishman's NPI number?
- Simon Fishman's National Provider Identifier (NPI) is 1578654968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Fishman's specialty?
- Simon Fishman is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Simon Fishman located?
- Simon Fishman's practice location on file with NPPES is 6355 Walker Lane, Alexandria, VA 22310.
- What is Simon Fishman's phone number?
- The practice phone number listed in the NPPES registry for Simon Fishman is (703) 313-9111.
- Does Simon Fishman accept Medicare?
- Simon Fishman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simon Fishman's NPI active?
- Yes — Simon Fishman's NPI (1578654968) is active in the NPPES registry as of the last update on 2015-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.