2026 NPPES data Nephrology Physician NPI 1760489892 MD
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JOHN SIMON, MD

Nephrology Physician in COVINGTON, Louisiana. 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
4K
Medicare Part D claims · 267 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$78.72
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN SIMON, MD filed 4,265 Medicare Part D claims in 2023 as a Nephrology Physician in COVINGTON, Louisiana, prescribing 94% generic.

4K
Part D claims, 2023
94%
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.

JOHN SIMON, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

4,265 Top 8% higher than 92% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOHN SIMON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 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 JOHN SIMON, MD?

Quality data not reported

NPI registry status

Active

Issued 07/05/2005

NPI 1760489892

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

4,265 193% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Louisiana

How Nephrology Physician compares to other specialties among Louisiana providers

Louisiana providers

Nephrology Physician share within Louisiana

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

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

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).

JOHN SIMON, MD is a Nephrology Physician provider practicing in COVINGTON, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1760489892. 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.

JOHN SIMON, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1970 N HWY 190, COVINGTON, LA, 70433, with a listed phone of (985) 867-8585. NPI 1760489892 was issued on 07/05/2005. 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 4,265 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $259K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 0.6%. 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1970 N HWY 190
COVINGTON, LA 70433

Provider Details

NPI 1760489892
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 07/05/2005

Hospital and facility affiliations

Facilities where JOHN SIMON, MD 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.

GULFSOUTH HOSPITAL MEDICINE LLC
BOGALUSA, LA
GULFSOUTH PULMONOLOGY LLC
COVINGTON, LA
NNI COVINGTON LLC
COVINGTON, LA

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

Total received

$79

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Generic-heavy

JOHN SIMON, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 4,265 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.

4,265
Total Claims
$259K
Total Drug Cost
267
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,673
Total Day Supply
133,162
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$164K
Generic Drug Cost
$95K
Opioid Claims
27 (0.6% rate)
Antibiotic Claims
119

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
2.88
Gender Split
61% female / 39% male
Age Distribution
<65: 57, 65-74: 66, 75-84: 73, 85+: 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
Atorvastatin Calcium
187
Amlodipine Besylate
183
Levothyroxine Sodium
154
Lisinopril
145
Pantoprazole Sodium
124
Donepezil Hcl
114
Quetiapine Fumarate
111
Memantine Hcl
107
Furosemide
101
Tamsulosin Hcl
86

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

Nephrology Physician Overview

How JOHN SIMON, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

JOHN SIMON, MD's 4,265 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Louisiana

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

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

Frequently Asked Questions

What is JOHN SIMON, MD's specialty?
JOHN SIMON, MD specializes in Nephrology Physician and practices in COVINGTON, Louisiana. Credentials: MD.
How much does JOHN SIMON, MD prescribe under Medicare Part D?
In 2023, JOHN SIMON, MD wrote 4,265 Medicare Part D claims totaling $259K in drug costs for 267 beneficiaries.
Where is JOHN SIMON, MD located?
JOHN SIMON, MD is located at 1970 N HWY 190, COVINGTON, LA, 70433. Phone: (985) 867-8585.
What is JOHN SIMON, MD's NPI number?
JOHN SIMON, MD's National Provider Identifier (NPI) is 1760489892, issued on 07/05/2005.
Does JOHN SIMON, MD prescribe more brand-name or generic drugs?
JOHN SIMON, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $164K in brand drug costs.
Does JOHN SIMON, MD prescribe opioids?
Yes, JOHN SIMON, MD had 27 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does JOHN SIMON, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN SIMON, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN SIMON, MD accept Medicare?
JOHN SIMON, MD appears in CMS Medicare data with 4,265 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN SIMON, MD's credentials?
JOHN SIMON, MD's NPI is 1760489892 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.
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