NPI registry status
Active
2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1205333879 DO
Verify on CMS → Michael Simon, DO
Emergency Medical Services (Emergency Medicine) Physician in Daytona Beach, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,618 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
231
Medicare Part D claims · 171 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
84.4/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$128.48
5 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Michael Simon, DO reported a CMS MIPS final score of 84.4/100 - above the 83.5 national average - and filed 231 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 231
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥42nd
- 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 Michael Simon, DO
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 1205333879), first enumerated 04/10/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 231 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 84.4/100 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$128.48 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Michael Simon, DO's individual license status. Verify directly with the state medical board.
Source: FLDOH annual report 2023
- 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 1205333879 · Emergency Medical Services (Emergency Medicine) Physician
NPI-10 · ENUM-RECENT · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1205333879
- ENUM-RECENT 2018
- TAX-NARROW 3,618
- MIPS-INLINE 84.4/100
- RX-LIGHT 231
- BOOK-THIN 220 in Florida
- PHOTO-FINISH Scott Strumpfler · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Paul File · lowest
Paul File
84.3 MIPS pts
- Simon · this pro…
Simon · this provider
84.4 MIPS pts
- Scott Strumpfler…
Scott Strumpfler
84.4 MIPS pts
- Susan Hirsch · h…
Susan Hirsch
84.5 MIPS pts
- Elizabeth Haines…
Elizabeth Haines
84.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michael Simon, DO'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.
84 ≥ 42nd percentile 42% 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 Michael Simon, DO 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, Michael Simon, DO writes more Part D claims than 64% of them and scores higher on MIPS quality than 32% - placing this provider in the high-volume, lower-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 Michael Simon, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Simon, DO 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).
What does the federal data show about Michael Simon, DO?
Near national averagePrimary specialty
Emergency Medical Services (Emergency Medicine) Physician
Medicare Part D claims
231 41% vs specialty avg
MIPS final score
84.4/100 0.9 pts vs avg
Specialty distribution in Florida
How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Michael Simon, DO's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average
- MIPS Final Score
- 84.4/100
- 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 | 1205333879 |
|---|---|
| Specialty | Emergency Medical Services (Emergency Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 04/10/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.3962
Final Score
Measured-score avg: 83.5
85.347
Quality
57.0255
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Simon, DO 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.
Halifax Healthcare Systems Inc
Daytona Bch, FL
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 Michael Simon, DO. Source: openpaymentsdata.cms.gov.
Total received
$128
Largest payer
PFIZER 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.
License & disciplinary context - Florida FLDOH 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Michael Simon, DO. To verify Michael Simon, DO's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
231
Total Claims
$6K
Total Drug Cost
171
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 231
- Total Day Supply
- 2,067
- Generic Drug Cost
- $3K
- Opioid Claims
- 20 (8.7% rate)
- Antibiotic Claims
- 95
Patient Demographics
- Average Patient Age
- 77.4 years
- Avg HCC Risk Score
- 1.69
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 12, 65-74: 47, 75-84: 67, 85+: 45
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Simon, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
17 claims
- Cefpodoxime Proxetil
Cefpodoxime Proxetil
17 claims
- Cephalexin
Cephalexin
15 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
14 claims
- Ibuprofen
Ibuprofen
12 claims
| Drug | Claims |
|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 |
| Cefpodoxime Proxetil | 17 |
| Cephalexin | 15 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 14 |
| Ibuprofen | 12 |
* 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 FL →
All providers in Florida →
Compare specialties →
Emergency Medical Services (Emergency Medicine) Physician Overview
How Michael Simon, DO fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.
3,618
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider
Michael Simon, DO's 231 claims are below the specialty average of 394.
Nationwide Emergency Medical Services (Emergency Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Simon, both outside Florida so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84.4 here).
Same NPPES enumeration year (2018)
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 Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Simon.
One of 220 Emergency Medical Services (Emergency Medicine) Physician providers enrolled in Florida, 5 are shown here.
Frequently Asked Questions
What is Michael Simon, DO's specialty? ▼
Michael Simon, DO specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in Daytona Beach, Florida. Credentials: DO.
How much does Michael Simon, DO prescribe under Medicare Part D? ▼
In 2023, Michael Simon, DO wrote 231 Medicare Part D claims totaling $6K in drug costs for 171 beneficiaries.
What is Michael Simon, DO's Medicare quality score? ▼
Michael Simon, DO has a CMS MIPS Final Score of 84.4/100 (Quality: 85.3, Cost: 57). 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 Michael Simon, DO located? ▼
Michael Simon, DO is located at 303 N CLYDE MORRIS BLVD, Daytona Beach, FL, 32114. Phone: (386) 254-4000.
What is Michael Simon, DO's NPI number? ▼
Michael Simon, DO's National Provider Identifier (NPI) is 1205333879, issued on 04/10/2018.
Does Michael Simon, DO prescribe opioids? ▼
Yes, Michael Simon, DO had 20 opioid claims in 2023 with an opioid prescribing rate of 8.7%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US? ▼
There are 3,618 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 Michael Simon, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Simon, DO's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Cefpodoxime Proxetil, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Simon, DO accept Medicare? ▼
Michael Simon, DO appears in CMS Medicare data with 231 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Simon, DO's credentials? ▼
Michael Simon, DO's NPI is 1205333879 with credentials DO. 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 (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
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 May 2026.