NPI registry status
Active
2026 NPPES data Orthopaedic Hand Surgery Physician NPI 1215384656 M.D.
Verify on CMS → Andrew Simon, M.D.
Orthopaedic Hand Surgery Physician in Camden, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,962 in Orthopaedic Hand Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
41
Medicare Part D claims · 39 beneficiaries · Orthopaedic Hand Surgery Physician avg: 180
MIPS score
83/100
▼ 0 pts below national avg 83.1 · Above neutral
Industry payments
$150.68
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrew Simon, M.D. reported a CMS MIPS final score of 83/100 - below the 83.1 national average - and filed 41 Medicare Part D claims in 2023.
- 83/100
- MIPS score · 0 vs avg
- 41
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Andrew Simon, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 39th percentile higher than 39% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew Simon, M.D. sits
This provider among orthopaedic hand surgery physician peers
Across the 727 orthopaedic hand surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Simon, M.D. writes more Part D claims than 13% of them and scores higher on MIPS quality than 58% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one orthopaedic hand surgery physician peer from a representative sample of 60; the gold marker is Andrew Simon, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Simon, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Andrew Simon, M.D.?
Near national averagePrimary specialty
Orthopaedic Hand Surgery Physician
Medicare Part D claims
41 77% vs specialty avg
MIPS final score
83/100 0.1 pts vs avg
Specialty distribution in New Jersey
How Orthopaedic Hand Surgery Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Andrew Simon, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Hand Surgery Physician national average
- MIPS Final Score
- 83/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Hand Surgery Physician) - 83/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Andrew Simon, M.D. appears in the CMS NPPES registry as a Orthopaedic Hand Surgery Physician provider holding M.D. credentials at 1 COOPER PLZ, Camden, NJ, 08103, with a listed phone of (856) 342-3113. NPI 1215384656 was issued on 05/16/2016.
Medicare Part D records for calendar year 2023 show 41 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $306 in drug spend, with an opioid prescribing rate of 87.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83/100 for the 2023 performance year (Quality 80.8, Cost 55.2), compared with the national average of 83.1.
Orthopaedic Hand Surgery Physician is a narrow specialty nationwide, with 1,962 enrolled providers across 52 states and an average of 180 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1215384656 |
|---|---|
| Specialty | Orthopaedic Hand Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/16/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9676
Final Score
Avg: 83.1
80.8398
Quality
55.2239
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Simon, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Cooper Surgical Associates, PA
Glassboro, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Andrew Simon, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$151
Largest payer
Skeletal Dynamics Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
41
Total Claims
$306
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 41
- Total Day Supply
- 224
- Brand Drug Cost
- $0
- Generic Drug Cost
- $306
- Opioid Claims
- 36 (87.8% rate)
Patient Demographics
- Average Patient Age
- 67.1 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 27 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Hand Surgery Physician Overview
How Andrew Simon, M.D. fits within the Orthopaedic Hand Surgery Physician landscape nationally.
1,962
Orthopaedic Hand Surgery Physician Providers in US
52
States with Orthopaedic Hand Surgery Physician
180
Avg Claims per Provider
Andrew Simon, M.D.'s 41 claims are below the specialty average of 180.
Nearby Orthopaedic Hand Surgery Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Simon.
Dr. Hesham Abdelfattah
M.D.
Wall Township, NJ
Dr. Elliot Ames
D.O.
Cherry Hill, NJ
Dr. Edward Armbruster
D.O.,
Freehold, NJ
Dr. Teddy Atik
MD
Eatontown, NJ
Dr. Michael Baskies
MD
Morristown, NJ
Compare Orthopaedic Hand Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Hand Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Jersey
Frequently Asked Questions
What is Andrew Simon, M.D.'s specialty? ▼
Andrew Simon, M.D. specializes in Orthopaedic Hand Surgery Physician and practices in Camden, New Jersey. Credentials: M.D..
How much does Andrew Simon, M.D. prescribe under Medicare Part D? ▼
In 2023, Andrew Simon, M.D. wrote 41 Medicare Part D claims totaling $306 in drug costs for 39 beneficiaries.
What is Andrew Simon, M.D.'s Medicare quality score? ▼
Andrew Simon, M.D. has a CMS MIPS Final Score of 83/100 (Quality: 80.8, Cost: 55.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Simon, M.D. located? ▼
Andrew Simon, M.D. is located at 1 COOPER PLZ, Camden, NJ, 08103. Phone: (856) 342-3113.
What is Andrew Simon, M.D.'s NPI number? ▼
Andrew Simon, M.D.'s National Provider Identifier (NPI) is 1215384656, issued on 05/16/2016.
Does Andrew Simon, M.D. prescribe opioids? ▼
Yes, Andrew Simon, M.D. had 36 opioid claims in 2023 with an opioid prescribing rate of 87.8%.
How many Orthopaedic Hand Surgery Physician providers are there in the US? ▼
There are 1,962 Orthopaedic Hand Surgery Physician providers across 52 states in the US. The average Orthopaedic Hand Surgery Physician provider writes 180 Medicare Part D claims per year.
What drugs does Andrew Simon, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrew Simon, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Simon, M.D. accept Medicare? ▼
Andrew Simon, M.D. appears in CMS Medicare data with 41 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Simon, M.D.'s credentials? ▼
Andrew Simon, M.D.'s NPI is 1215384656 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.