2026 NPPES data Colon & Rectal Surgery Physician NPI 1811995053 M.D.
Verify on CMS →

Anthony Simons, M.D.

Colon & Rectal Surgery Physician in Longview, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,608 in Colon & Rectal 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
85
Medicare Part D claims · 54 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.7/100
▲ 6 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Anthony Simons, M.D. reported a CMS MIPS final score of 88.7/100 - above the 83.1 national average - and filed 85 Medicare Part D claims in 2023.

88.7/100
MIPS score · +6 vs avg
85
Part D claims, 2023
79%
generic prescribing
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.

Anthony Simons, 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

89 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Anthony Simons, M.D. sits

This provider among colon & rectal surgery physician peers

Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Simons, M.D. writes more Part D claims than 29% of them and scores higher on MIPS quality than 54% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Anthony Simons, M.D.-Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 54
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Anthony Simons, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Anthony Simons, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Anthony Simons, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/12/2005

NPI 1811995053

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

85 57% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

88.7/100 5.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Colon & Rectal Surgery Physician compares to other specialties among Washington providers

Washington providers

Largest specialties in Washington (% of in-state providers)

Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Colon & Rectal Surgery Physician - 0%Colon & Rectal Surgery Physician0%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Anthony Simons, M.D.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) - 88.7/100 vs national avg 83.1

0%100%National avg83%88.7%
MIPS final score (Colon & Rectal Surgery Physician) - 88.7/100 vs national avg 83.1

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).

Anthony Simons, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 1615 DELAWARE ST, Longview, WA, 98632, with a listed phone of (360) 501-3500. NPI 1811995053 was issued on 07/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Simons most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 85 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $5K in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 34.1%. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.7/100 for the 2023 performance year (Quality 91.5, Cost 70.7), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

1615 DELAWARE ST
Longview, WA 98632

Provider Details

NPI 1811995053
Specialty Colon & Rectal Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/12/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.6735
Final Score
Avg: 83.1
91.544
Quality
70.7008
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Anthony Simons, 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.

Legacy Clinics LLC
Portland, OR
Legacy Salmon Creek Hospital
Vancouver, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Washington WMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Anthony Simons, M.D.. To verify Anthony Simons, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Anthony Simons, M.D. - brand share 21.0%
Colon & Rectal Surgery Physician average

21% brand-name claims vs 79% generic, on 85 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

85
Total Claims
$5K
Total Drug Cost
54
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
87
Total Day Supply
614
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$4K
Generic Drug Cost
$918
Opioid Claims
29 (34.1% rate)

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.19
Gender Split
59% female / 41% 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
Oxycodone Hcl
24
Lidocaine-Prilocaine
Lidocaine/Prilocaine
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Colon & Rectal Surgery Physician Overview

How Anthony Simons, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

Anthony Simons, M.D.'s 85 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Simons.

Compare Colon & Rectal 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 Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Colon & Rectal 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.

Frequently Asked Questions

What is Anthony Simons, M.D.'s specialty?
Anthony Simons, M.D. specializes in Colon & Rectal Surgery Physician and practices in Longview, Washington. Credentials: M.D..
How much does Anthony Simons, M.D. prescribe under Medicare Part D?
In 2023, Anthony Simons, M.D. wrote 85 Medicare Part D claims totaling $5K in drug costs for 54 beneficiaries.
What is Anthony Simons, M.D.'s Medicare quality score?
Anthony Simons, M.D. has a CMS MIPS Final Score of 88.7/100 (Quality: 91.5, Cost: 70.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Simons, M.D. located?
Anthony Simons, M.D. is located at 1615 DELAWARE ST, Longview, WA, 98632. Phone: (360) 501-3500.
What is Anthony Simons, M.D.'s NPI number?
Anthony Simons, M.D.'s National Provider Identifier (NPI) is 1811995053, issued on 07/12/2005.
Does Anthony Simons, M.D. prescribe more brand-name or generic drugs?
Anthony Simons, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $4K in brand drug costs.
Does Anthony Simons, M.D. prescribe opioids?
Yes, Anthony Simons, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 34.1%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Anthony Simons, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Anthony Simons, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Lidocaine-Prilocaine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Simons, M.D. accept Medicare?
Anthony Simons, M.D. appears in CMS Medicare data with 85 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Simons, M.D.'s credentials?
Anthony Simons, M.D.'s NPI is 1811995053 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

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.