Philip Simone, MD
NPI 1952372468 · Family Medicine Physician · Matawan, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Simone, MD is a Family Medicine Physician provider in Matawan, NJ (NPI 1952372468).
Provider details
- NPI number
- 1952372468
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MA70752 (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
20 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
473 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 | 233 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $140 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 101 | $142 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 17 | $197 |
| Initial Preventive Physical Examination; Face-To-Face Visit, Services Limited to New Beneficiary During the First 12 Months of Medicare EnrollmentG0402 | 16 | $180 |
Typical Medicare-allowed amounts for these services range $99–$197 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 95 | 26 |
| Atorvastatin Calcium | 79 | 23 |
| Alprazolam | 62 | 16 |
| Lisinopril | 58 | 16 |
| Hydrochlorothiazide | 51 | 15 |
| Pantoprazole Sodium | 49 | 11 |
| Losartan Potassium | 48 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2008-08-21
Frequently asked questions
- What is Philip Simone's NPI number?
- Philip Simone's National Provider Identifier (NPI) is 1952372468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Simone's specialty?
- Philip Simone is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Simone located?
- Philip Simone's practice location on file with NPPES is 746 Highway 34, Matawan, NJ 07747.
- What is Philip Simone's phone number?
- The practice phone number listed in the NPPES registry for Philip Simone is (732) 290-8300.
- Does Philip Simone accept Medicare?
- Philip Simone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Simone's NPI active?
- Yes — Philip Simone's NPI (1952372468) is active in the NPPES registry as of the last update on 2008-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.