NPPES file of Aug 9, 2026

Mark William Simon, MD

Emergency Medicine Physician · San Diego, CA

Mark William Simon, MD is an emergency medicine physician with a practice address in San Diego, California, and NPI 1649776584, issued on Mar 31, 2018. Check the license (California A206785, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649776584
Name
Mark William Simon
Credential
MD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License numbers
A206785 CA
DR.0066448 CO
Self-reported in NPPES; status is on the state search
Practice location
200 W Arbor Dr, San Diego, CA 92103
Phone
(800) 926-8273
Enumerated
Mar 31, 2018
Record last updated
Jun 27, 2026
Medicare enrollment
Enrolled (PECOS I20220103001814); accepts Medicare assignment
Medical or professional school
Temple University School Of Medicine, 2018
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 200 W Arbor Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Alison A'Court, MDAnesthesiology Physician1912218199
  2. Benjamin Abbadessa, M.D.Colon & Rectal Surgery Physician1255593612
  3. Geraldine Abcede, RNCertified Registered Nurse Anesthetist1982384046
  4. Joseph Abdelmalek, M.DNephrology Physician1740485531
  5. Kristy AbelCertified Registered Nurse Anesthetist1962113035
  6. Paula Abeleda, NPFamily Nurse Practitioner1558945022

Verify Mark William Simon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A206785
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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70% fewer Medicare Part D claims than the average emergency medicine physician in 2024

67 Medicare Part D claims for 56 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.

  1. Mark Simon67
  2. Specialty average226

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 91.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score90.2
  2. Costout of 100 · 30%73.5
  3. Promoting interoperabilityout of 100 · 25%88.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Poudre Valley Medical Group LLCBroomfield, CO
  2. University Physicians IncorporatedAurora, CO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mark William Simon among 7,751 emergency medicine physician records in California

Mark William Simon, MD is one of 7,751 emergency medicine physician records with a practice address in California. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 81% of them.

  • NPI issued2018 · 81% of these records are older, 15% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2018 · median 2011 among the 4,560 with a school on file
  • Record last updated2026 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medicine Physician providers in California

There are 7,751 emergency medicine physician records in California.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Carolyn Barber, MDSan Diego, CA 921031750325502
  2. Anthony Bielawski, M.D.San Diego, CA 921031528038346
  3. Colleen Campbell, MDSan Diego, CA 921031669416483
  4. Richard Childers, M.D.San Diego, CA 921031902876220
  5. Michelle Daniel, MDSan Diego, CA 921031801879861
  6. Julian Lis, M.D.San Diego, CA 921031932100062
  7. Leslie Mukau, MDSan Diego, CA 921031578526026
  8. Sassan Naderi, M.D.San Diego, CA 921031811987936

Common questions

What is Mark William Simon, MD's NPI number?

Mark William Simon, MD's National Provider Identifier (NPI) is 1649776584, issued on Mar 31, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Mark William Simon, MD located?

The NPPES record lists a practice address at 200 W Arbor Dr, San Diego, CA, 92103. Phone: (800) 926-8273. Providers update this record themselves, so call before visiting.

How can I verify Mark William Simon, MD's license?

NPPES lists California license number A206785, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mark William Simon, MD prescribe under Medicare Part D?

In 2024, Mark William Simon, MD had 67 Medicare Part D claims for 56 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Mark William Simon, MD's MIPS final score?

The 2023 MIPS final score is 91.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.