2026 NPPES data Surgery Physician NPI 1003872193 M.D.
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IRWIN SIMON, M.D.

Surgery Physician in HENDERSON, Nevada. 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
47
Medicare Part D claims · 30 beneficiaries · Surgery Physician avg: 169
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$26.61
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: IRWIN SIMON, M.D. is a Surgery Physician ([object Object]) practicing in HENDERSON, Nevada with a Medicare Part D prescribing footprint of 47 claims across 30 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $26.61 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: IRWIN SIMON, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 47 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

IRWIN 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).

IRWIN SIMON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/26/2006

NPI 1003872193

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

47 72% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nevada

How Surgery Physician compares to other specialties among Nevada providers

Nevada providers

Surgery Physician share within Nevada

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Nevada

Medicare quality performance — MIPS

IRWIN SIMON, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

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

MIPS final score (Surgery Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Surgery Physician) — 100/100 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).

IRWIN SIMON, M.D. is a Surgery Physician provider practicing in HENDERSON, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1003872193. 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.

IRWIN SIMON, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 2450 W HORIZON RIDGE PKWY, HENDERSON, NV, 89052, with a listed phone of (702) 735-2305. NPI 1003872193 was issued on 04/26/2006. 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 47 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 40.4%. 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

2450 W HORIZON RIDGE PKWY
HENDERSON, NV 89052

Provider Details

NPI 1003872193
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where IRWIN 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.

DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ

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 IRWIN SIMON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$27

Largest payer

Bard Peripheral Vascular, 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.

47
Total Claims
$6K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
512
Generic Drug Cost
$452
Opioid Claims
19 (40.4% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.51
Gender Split
57% female / 43% 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-Acetaminophen
Oxycodone Hcl/Acetaminophen
15

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

Surgery Physician Overview

How IRWIN SIMON, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

IRWIN SIMON, M.D.'s 47 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Nevada

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is IRWIN SIMON, M.D.'s specialty?
IRWIN SIMON, M.D. specializes in Surgery Physician and practices in HENDERSON, Nevada. Credentials: M.D..
How much does IRWIN SIMON, M.D. prescribe under Medicare Part D?
In 2023, IRWIN SIMON, M.D. wrote 47 Medicare Part D claims totaling $6K in drug costs for 30 beneficiaries.
What is IRWIN SIMON, M.D.'s Medicare quality score?
IRWIN SIMON, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is IRWIN SIMON, M.D. located?
IRWIN SIMON, M.D. is located at 2450 W HORIZON RIDGE PKWY, HENDERSON, NV, 89052. Phone: (702) 735-2305.
What is IRWIN SIMON, M.D.'s NPI number?
IRWIN SIMON, M.D.'s National Provider Identifier (NPI) is 1003872193, issued on 04/26/2006.
Does IRWIN SIMON, M.D. prescribe opioids?
Yes, IRWIN SIMON, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 40.4%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does IRWIN SIMON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, IRWIN SIMON, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does IRWIN SIMON, M.D. accept Medicare?
IRWIN SIMON, M.D. appears in CMS Medicare data with 47 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify IRWIN SIMON, M.D.'s credentials?
IRWIN SIMON, M.D.'s NPI is 1003872193 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