2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1043207533 MD
Verify on CMS →

MARK SIMON, MD

Emergency Medical Services (Emergency Medicine) Physician in FAIRBANKS, Alaska. 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
125
Medicare Part D claims · 79 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
91.6277/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

MARK SIMON, MD reported a CMS MIPS final score of 91.6277/100 — above the 83.1 national average — and filed 125 Medicare Part D claims in 2023.

91.6277/100
MIPS score · +9 vs avg
125
Part D claims, 2023
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.

MARK 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

92 Top 37% higher than 63% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MARK SIMON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 MARK SIMON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/30/2005

NPI 1043207533

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

125 68% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

91.6277/100 8.52770000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alaska

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Alaska providers

Alaska providers

Emergency Medical Services (Emergency Medicine) Physician share within Alaska

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within Alaska

Medicare quality performance — MIPS

MARK SIMON, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
91.6277/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 91.6277/100 vs national avg 83.1

0%100%National avg83%91.6%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 91.6277/100 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).

MARK SIMON, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 1650 COWLES ST, FAIRBANKS, AK, 99701, with a listed phone of (907) 458-5556. NPI 1043207533 was issued on 09/30/2005. 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 125 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 12.0%. 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 91.6277/100 for the 2023 performance year (Quality 80.4254), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

1650 COWLES ST
FAIRBANKS, AK 99701

Provider Details

NPI 1043207533
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 09/30/2005

CMS Quality Score (MIPS)

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

91.6277
Final Score
Avg: 83.1
80.4254
Quality
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK 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.

GOLDEN HEART EMERGENCY PHYSICIANS INC
FAIRBANKS, AK
TANANA VALLEY CLINIC LLC
FAIRBANKS, AK

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

125
Total Claims
$7K
Total Drug Cost
79
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
125
Total Day Supply
1,393
Generic Drug Cost
$770
Opioid Claims
15 (12.0% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.58
Gender Split
48% female / 52% 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
Cephalexin
14
Ondansetron Odt
Ondansetron
11

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

Emergency Medical Services (Emergency Medicine) Physician Overview

How MARK SIMON, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

MARK SIMON, MD's 125 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in Alaska

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

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK SIMON, MD's specialty?
MARK SIMON, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in FAIRBANKS, Alaska. Credentials: MD.
How much does MARK SIMON, MD prescribe under Medicare Part D?
In 2023, MARK SIMON, MD wrote 125 Medicare Part D claims totaling $7K in drug costs for 79 beneficiaries.
What is MARK SIMON, MD's Medicare quality score?
MARK SIMON, MD has a CMS MIPS Final Score of 91.6277/100 (Quality: 80.4254). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK SIMON, MD located?
MARK SIMON, MD is located at 1650 COWLES ST, FAIRBANKS, AK, 99701. Phone: (907) 458-5556.
What is MARK SIMON, MD's NPI number?
MARK SIMON, MD's National Provider Identifier (NPI) is 1043207533, issued on 09/30/2005.
Does MARK SIMON, MD prescribe opioids?
Yes, MARK SIMON, MD had 15 opioid claims in 2023 with an opioid prescribing rate of 12.0%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does MARK SIMON, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK SIMON, MD's most frequently prescribed drugs include Cephalexin, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK SIMON, MD accept Medicare?
MARK SIMON, MD appears in CMS Medicare data with 125 Part D claims and 79 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK SIMON, MD's credentials?
MARK SIMON, MD's NPI is 1043207533 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