2026 NPPES data Hematology (Internal Medicine) Physician NPI 1164438768 MD
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GEORGE SIMON, MD

Hematology (Internal Medicine) Physician in CELEBRATION, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
172
Medicare Part D claims · 43 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4387/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$16.5K
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GEORGE SIMON, MD reported a CMS MIPS final score of 89.4387/100 — above the 83.1 national average — and filed 172 Medicare Part D claims in 2023.

89.4387/100
MIPS score · +6 vs avg
172
Part D claims, 2023
72%
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.

GEORGE SIMON, MD'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 42% higher than 58% 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. 90–100: 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

Board certification likely (heuristic — not verified)

GEORGE SIMON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 GEORGE SIMON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/01/2006

NPI 1164438768

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

172 75% vs specialty avg

2023 prescription claims

Specialty avg: 693

MIPS final score

89.4387/100 6.338700000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Hematology (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers

Hematology (Internal Medicine) Physician share within Florida

1. Hematology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology (Internal Medicine) Physician share within Florida

Medicare quality performance — MIPS

GEORGE SIMON, MD's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
89.4387/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology (Internal Medicine) Physician) — 89.4387/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Hematology (Internal Medicine) Physician) — 89.4387/100 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).

GEORGE SIMON, MD appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding MD credentials at 380 CELEBRATION PL FL 2, CELEBRATION, FL, 34747, with a listed phone of (843) 792-1414. NPI 1164438768 was issued on 08/01/2006. 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 172 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $589K in drug spend, split 28% brand-name and 72% generic by claim count, with an opioid prescribing rate of 12.2%. 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 89.4387/100 for the 2023 performance year (Quality 73.844), compared with the national average of 83.1.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

380 CELEBRATION PL FL 2
CELEBRATION, FL 34747

Provider Details

NPI 1164438768
Specialty Hematology (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/01/2006

CMS Quality Score (MIPS)

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

89.4387
Final Score
Avg: 83.1
73.844
Quality
100
Promoting Interoperability

Reporting: Group practice

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 GEORGE SIMON, MD. Source: openpaymentsdata.cms.gov.

Total received

$16.5K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

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 GEORGE SIMON, MD. To verify GEORGE SIMON, MD'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.

Brand vs generic prescribing mix · Above average

GEORGE SIMON, MD — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 172 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.

172
Total Claims
$589K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
188
Total Day Supply
4,029
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$585K
Generic Drug Cost
$4K
Opioid Claims
21 (12.2% rate)

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.96
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What GEORGE SIMON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ondansetron Hcl
29
Eliquis
Apixaban
19
Dexamethasone
15
Prochlorperazine Maleate
13
Lorbrena
Lorlatinib
12
Mirtazapine
11

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

Hematology (Internal Medicine) Physician Overview

How GEORGE SIMON, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

GEORGE SIMON, MD's 172 claims are below the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Florida

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

Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GEORGE SIMON, MD's specialty?
GEORGE SIMON, MD specializes in Hematology (Internal Medicine) Physician and practices in CELEBRATION, Florida. Credentials: MD.
How much does GEORGE SIMON, MD prescribe under Medicare Part D?
In 2023, GEORGE SIMON, MD wrote 172 Medicare Part D claims totaling $589K in drug costs for 43 beneficiaries.
What is GEORGE SIMON, MD's Medicare quality score?
GEORGE SIMON, MD has a CMS MIPS Final Score of 89.4387/100 (Quality: 73.844). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GEORGE SIMON, MD located?
GEORGE SIMON, MD is located at 380 CELEBRATION PL FL 2, CELEBRATION, FL, 34747. Phone: (843) 792-1414.
What is GEORGE SIMON, MD's NPI number?
GEORGE SIMON, MD's National Provider Identifier (NPI) is 1164438768, issued on 08/01/2006.
Does GEORGE SIMON, MD prescribe more brand-name or generic drugs?
GEORGE SIMON, MD's prescribing is 28% brand-name and 72% generic drugs by claim count, with $585K in brand drug costs.
Does GEORGE SIMON, MD prescribe opioids?
Yes, GEORGE SIMON, MD had 21 opioid claims in 2023 with an opioid prescribing rate of 12.2%.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does GEORGE SIMON, MD prescribe most often?
Based on 2023 Medicare Part D data, GEORGE SIMON, MD's most frequently prescribed drugs include Ondansetron Hcl, Eliquis, Dexamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GEORGE SIMON, MD accept Medicare?
GEORGE SIMON, MD appears in CMS Medicare data with 172 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GEORGE SIMON, MD's credentials?
GEORGE SIMON, MD's NPI is 1164438768 with credentials MD. 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