NPPES file of Aug 9, 2026

Patrick E. Simon, M.D.

Otolaryngology Physician · Winfield, IL

Patrick E. Simon, M.D. is an otolaryngology physician with a practice address in Winfield, Illinois, and NPI 1518114313, issued on Aug 22, 2008. Check the license (Illinois 036140724, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; 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
1518114313
Name
Patrick E. Simon
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License numbers
036140724 IL
036-140724 IL
AN5240394 6069 IL
65606-20 WI
Self-reported in NPPES; status is on the state search
Practice location
25 N Winfield RD, Winfield, IL 60190
Phone
(630) 938-6161
Enumerated
Aug 22, 2008
Record last updated
Aug 23, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20160810001233); accepts Medicare assignment
Medical or professional school
University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 2008
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 25 N Winfield RD

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

  1. Pamela Abadi, D.O.Hospitalist Physician1588820179
  2. Hossam Abdel Aziz, MDHospitalist Physician1114558145
  3. Imran Ahmad, M.D.Interventional Cardiology Physician1871760934
  4. Christopher Ahuja, MDNeurological Surgery Physician1316625288
  5. Batul Al-Zubeidy, MDSurgery Physician1568725711
  6. Hia Alazzam, APRN, CRNACertified Registered Nurse Anesthetist1760068167

Verify Patrick E. Simon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036140724
    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 Illinois 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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53% fewer Medicare Part D claims than the average otolaryngology physician in 2024

255 Medicare Part D claims for 128 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. 31 claims were for opioids.

  1. Patrick Simon255
  2. Specialty average541

Most prescribed

  1. Ipratropium Bromide62 claims
  2. Cephalexin42 claims
  3. Hydrocodone-Acetaminophen26 claims
  4. Fluticasone Propionate23 claims
  5. Mupirocin20 claims
  6. Azelastine Hcl14 claims

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 MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. 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 score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $124.69

1 payment: food and beverage; the largest payer was Genzyme Corporation. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Patrick Simon$124.69
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Central Dupage Physician GroupWinfield, IL
  2. Northwestern Medical Faculty FoundationSt Charles, IL

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

Patrick E. Simon among 482 otolaryngology physician records in Illinois

Patrick E. Simon, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 52% of them.

  • NPI issued2008 · 52% of these records are older, 42% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2008 · median 2005 among the 290 with a school on file
  • Record last updated2018 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Illinois

There are 482 otolaryngology physician records in Illinois.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Tyler Cebulko, M.D.Winfield, IL 601901174987242
  2. James Chow, M.D.Winfield, IL 601901164599577
  3. Seth Kay, M.D.Winfield, IL 601901023317450
  4. Jeffrey Ksiazek, M.D.Winfield, IL 601901679735104
  5. Riddhi Patel, M.D.Winfield, IL 601901164747754
  6. Raymond Konior, MDOakbrook Terrace, IL 601811376682724
  7. Roger Plotkin, M.D.Evanston, IL 602011770706798
  8. Abraham Lotan, MDSycamore, IL 601781760418214

Common questions

What is Patrick E. Simon, M.D.'s NPI number?

Patrick E. Simon, M.D.'s National Provider Identifier (NPI) is 1518114313, issued on Aug 22, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Patrick E. Simon, M.D. located?

The NPPES record lists a practice address at 25 N Winfield RD, Winfield, IL, 60190. Phone: (630) 938-6161. Providers update this record themselves, so call before visiting.

How can I verify Patrick E. Simon, M.D.'s license?

NPPES lists Illinois license number 036140724, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Patrick E. Simon, M.D. prescribe under Medicare Part D?

In 2024, Patrick E. Simon, M.D. had 255 Medicare Part D claims for 128 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Patrick E. Simon, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.1 of 100. 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.