NPI registry status
Active
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.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,651 in Emergency Medical Services (Emergency Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
167
Medicare Part D claims · 93 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 430
MIPS score
91.6/100
▲ 8 pts above national avg 83.5 · Exceptional
What the federal data shows
Mark Simon, MD reported a CMS MIPS final score of 91.6/100 - above the 83.5 national average - and filed 167 Medicare Part D claims in 2024.
- 91.6/100
- MIPS score · +8 vs avg
- 167
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥61st
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Mark Simon, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043207533), first enumerated 09/30/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 167 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 91.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1043207533 · Emergency Medical Services (Emergency Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1043207533
- ENUM-LEGACY 2005
- TAX-NARROW 3,651
- MIPS-ABOVE 91.6/100
- RX-LIGHT 167
- BOOK-THIN 25 in Alaska
- PHOTO-FINISH Nitasha Burney · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Simon · this pro…
Simon · this provider
91.6 MIPS pts
- Gina Dapra · hig…
Gina Dapra
91.6 MIPS pts
- Nitasha Burney ·…
Nitasha Burney
91.6 MIPS pts
- Lisa Akers-Hudso…
Lisa Akers-Hudson
91.6 MIPS pts
- Thea Berning · n…
Thea Berning
91.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mark Simon, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mark Simon, MD sits
This provider among emergency medical services (emergency medicine) physician peers
Across the 571 emergency medical services (emergency medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Simon, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 56% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medical services (emergency medicine) physician peer from a representative sample of 60; the gold marker is Mark Simon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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)Primary specialty
Emergency Medical Services (Emergency Medicine) Physician
Medicare Part D claims
167 61% vs specialty avg
MIPS final score
91.6/100 8.1 pts vs avg
Specialty distribution in Alaska
How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Alaska providers
Medicare quality performance, MIPS
Mark Simon, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average
- MIPS Final Score
- 91.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
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
Measured-score avg: 83.5
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 2024.
167
Total Claims
$12K
Total Drug Cost
93
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 167
- Total Day Supply
- 1,959
- Generic Drug Cost
- $3K
- Opioid Claims
- 23 (13.8% rate)
- Antibiotic Claims
- 29
Patient Demographics
- Average Patient Age
- 68.8 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 24, 65-74: 43, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mark Simon, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ondansetron Odt
Ondansetron Odt
22 claims
- Prednisone
Prednisone
16 claims
- Cephalexin
Cephalexin
12 claims
- Buprenorphine-Nalo…
Buprenorphine-Naloxone
11 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 22 |
| Prednisone | 16 |
| Cephalexin | 12 |
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Emergency Medical Services (Emergency Medicine) Physician in AK →
All providers in Alaska →
Compare specialties →
Emergency Medical Services (Emergency Medicine) Physician Overview
How Mark Simon, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.
3,651
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
430
Avg Claims per Provider
Mark Simon, MD's 167 claims are below the specialty average of 430.
Nationwide Emergency Medical Services (Emergency Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Simon, both outside Alaska so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.6 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 25 Emergency Medical Services (Emergency Medicine) Physician providers enrolled in Alaska, 5 are shown here.
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 2024, Mark Simon, MD wrote 167 Medicare Part D claims totaling $12K in drug costs for 93 beneficiaries.
What is Mark Simon, MD's Medicare quality score? ▼
Mark Simon, MD has a CMS MIPS Final Score of 91.6/100 (Quality: 80.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 23 opioid claims in 2024 with an opioid prescribing rate of 13.8%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US? ▼
There are 3,651 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 430 Medicare Part D claims per year.
What drugs does Mark Simon, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Simon, MD's most frequently prescribed drugs include Ondansetron Odt, Prednisone, Cephalexin. 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 167 Part D claims and 93 Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.