2026 NPPES data General Practice Dentistry NPI 1629154299 DMD
Verify on CMS →

Gelsys Simon, DMD

General Practice Dentistry in Hialeah, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 123,581 in General Practice Dentistry, 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
18
Medicare Part D claims · 16 beneficiaries · General Practice Dentistry avg: 84

What the federal data shows

Gelsys Simon, DMD filed 18 Medicare Part D claims in 2024 as a General Practice Dentistry in Hialeah, Florida.

18
Part D claims, 2024
≥0th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Gelsys Simon, DMD

Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1629154299), first enumerated 10/27/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 18 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Gelsys Simon, DMD's individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1629154299 · General Practice Dentistry

NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-TRACE · BOOK-MID · PHOTO-ENUM

  • NPI-10 1629154299
  • ENUM-LEGACY 2006
  • TAX-MEGA 124K General Practice
  • RX-TRACE 18
  • BOOK-MID 6,880 in Florida
  • PHOTO-ENUM Samuel Sauza Lopez · 2006

Gelsys Simon, DMD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

18 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Gelsys Simon, DMD?

Quality data not reported

NPI registry status

Active

Issued 10/27/2006

NPI 1629154299

Primary specialty

General Practice Dentistry

High-volume

123,581 US NPIs in this specialty

Medicare Part D claims

18 79% vs specialty avg

2024 prescription claims

Specialty avg: 84

Specialty distribution in Florida

How General Practice Dentistry compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%General Practice Dentistry1.5%
Largest specialties in Florida (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for General Practice Dentistry. Verify directly:

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).

Practice Address

4564 W 12TH AVE
Hialeah, FL 33012

Provider Details

NPI 1629154299
Specialty General Practice Dentistry
Credentials DMD
Gender Female
NPI Issued 10/27/2006

License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Gelsys Simon, DMD. To verify Gelsys Simon, DMD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

18
Total Claims
$78
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
134
Brand Drug Cost
$0
Generic Drug Cost
$78
Antibiotic Claims
14

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.58

General Practice Dentistry Overview

How Gelsys Simon, DMD fits within the General Practice Dentistry landscape nationally.

123,581
General Practice Dentistry Providers in US
56
States with General Practice Dentistry
84
Avg Claims per Provider

Gelsys Simon, DMD's 18 claims are below the specialty average of 84.

Nationwide General Practice Dentistry peers with similar MIPS or enrollment year

Two federal-record peer sets for Simon, both outside Florida so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby General Practice Dentistry Providers in Florida

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

One of 6,880 General Practice Dentistry providers enrolled in Florida, 5 are shown here.

Compare General Practice Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is Gelsys Simon, DMD's specialty?
Gelsys Simon, DMD specializes in General Practice Dentistry and practices in Hialeah, Florida. Credentials: DMD.
How much does Gelsys Simon, DMD prescribe under Medicare Part D?
In 2024, Gelsys Simon, DMD wrote 18 Medicare Part D claims totaling $78 in drug costs for 16 beneficiaries.
Where is Gelsys Simon, DMD located?
Gelsys Simon, DMD is located at 4564 W 12TH AVE, Hialeah, FL, 33012. Phone: (305) 558-2446.
What is Gelsys Simon, DMD's NPI number?
Gelsys Simon, DMD's National Provider Identifier (NPI) is 1629154299, issued on 10/27/2006.
How many General Practice Dentistry providers are there in the US?
There are 123,581 General Practice Dentistry providers across 56 states in the US. The average General Practice Dentistry provider writes 84 Medicare Part D claims per year.
Does Gelsys Simon, DMD accept Medicare?
Gelsys Simon, DMD appears in CMS Medicare data with 18 Part D claims and 16 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gelsys Simon, DMD's credentials?
Gelsys Simon, DMD's NPI is 1629154299 with credentials DMD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.