DAVID SIMON, M.D., J.D.
Addiction Medicine (Anesthesiology) Physician in MANSFIELD CENTER, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
DAVID SIMON, M.D., J.D. filed 214 Medicare Part D claims in 2023 as a Addiction Medicine (Anesthesiology) Physician in MANSFIELD CENTER, Connecticut, prescribing 86% generic.
- 214
- Part D claims, 2023
- 86%
- generic prescribing
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.
DAVID SIMON, M.D., J.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
214 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
DAVID SIMON, M.D., J.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about DAVID SIMON, M.D., J.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Connecticut
How Addiction Medicine (Anesthesiology) Physician compares to other specialties among Connecticut providers
Addiction Medicine (Anesthesiology) Physician share within Connecticut
Addiction Medicine (Anesthesiology) Physician is one of the more visible NUCC categories in Connecticut
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Addiction Medicine (Anesthesiology) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Addiction Medicine (Anesthesiology) Physician ABMS/AOA estimate
Est. board-certified rate (Addiction Medicine (Anesthesiology) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Addiction Medicine (Anesthesiology) Physician US NPIs
Specialty board-certified rate — Addiction Medicine (Anesthesiology) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
DAVID SIMON, M.D., J.D. is a Addiction Medicine (Anesthesiology) Physician provider practicing in MANSFIELD CENTER, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., J.D.. NPI: 1962736611. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
DAVID SIMON, M.D., J.D. appears in the CMS NPPES registry as a Addiction Medicine (Anesthesiology) Physician provider holding M.D., J.D. credentials at 2 LEDGEBROOK DR FL 2, MANSFIELD CENTER, CT, 06250, with a listed phone of (860) 356-2242. NPI 1962736611 was issued on 09/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMON 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 214 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $38K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 5.1%. 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.
Addiction Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 129 enrolled providers across 36 states and an average of 814 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 | 1962736611 |
|---|---|
| Specialty | Addiction Medicine (Anesthesiology) Physician |
| Credentials | M.D., J.D. |
| Gender | Male |
| NPI Issued | 09/29/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DAVID SIMON, M.D., J.D.'s current license status, disciplinary history, and board certifications with the Connecticut Department of Public Health in Connecticut before relying on this page for a clinical or care decision.
How we sourced this profile
Brand vs generic prescribing mix · Typical
14% brand-name claims vs 86% generic, on 214 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.
Prescribing Breakdown
- 30-Day Fills
- 230
- Total Day Supply
- 4,875
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $17K
- Generic Drug Cost
- $21K
- Opioid Claims
- 11 (5.1% rate)
Patient Demographics
- Average Patient Age
- 61.2 years
- Avg HCC Risk Score
- 1.71
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 126 |
| Buprenorphine Hcl | 22 |
| Zubsolv Buprenorphine Hcl/Naloxone Hcl | 19 |
| Hydromorphone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Addiction Medicine (Anesthesiology) Physician Overview
How DAVID SIMON, M.D., J.D. fits within the Addiction Medicine (Anesthesiology) Physician landscape nationally.
DAVID SIMON, M.D., J.D.'s 214 claims are below the specialty average of 814.
Nearby Addiction Medicine (Anesthesiology) Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as SIMON.
Compare Addiction Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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