2026 NPPES data Ophthalmology Physician NPI 1144630468 M.D., PH.D.
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PETER SIMONE, M.D., PH.D.

Ophthalmology Physician in OMAHA, Nebraska. 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
627
Medicare Part D claims · 180 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.8719/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$266.95
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PETER SIMONE, M.D., PH.D. reported a CMS MIPS final score of 81.8719/100 — below the 83.1 national average — and filed 627 Medicare Part D claims in 2023.

81.8719/100
MIPS score · -1 vs avg
627
Part D claims, 2023
71%
generic prescribing
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.

PETER SIMONE, M.D., PH.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

82 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

PETER SIMONE, M.D., PH.D. 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 PETER SIMONE, M.D., PH.D.?

Near national average

NPI registry status

Active

Issued 05/08/2014

NPI 1144630468

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

627 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

81.8719/100 1.2280999999999977% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Nebraska

How Ophthalmology Physician compares to other specialties among Nebraska providers

Nebraska providers

Ophthalmology Physician share within Nebraska

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Nebraska

Medicare quality performance — MIPS

PETER SIMONE, M.D., PH.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
81.8719/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 81.8719/100 vs national avg 83.1

0%100%National avg83%81.9%
MIPS final score (Ophthalmology Physician) — 81.8719/100 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).

PETER SIMONE, M.D., PH.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D., PH.D. credentials at 16820 FRANCES ST STE 100, OMAHA, NE, 68130, with a listed phone of (402) 933-6600. NPI 1144630468 was issued on 05/08/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMONE 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 627 prescription claims written by this provider, covering 180 Medicare beneficiaries and totaling roughly $49K in drug spend, split 29% brand-name and 71% generic by claim count. 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 81.8719/100 for the 2023 performance year (Quality 100, Cost 39.573), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

16820 FRANCES ST STE 100
OMAHA, NE 68130

Provider Details

NPI 1144630468
Specialty Ophthalmology Physician
Credentials M.D., PH.D.
Gender Male
NPI Issued 05/08/2014

CMS Quality Score (MIPS)

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

81.8719
Final Score
Avg: 83.1
100
Quality
39.573
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PETER SIMONE, M.D., PH.D. 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.

ILUMIN LLC
OMAHA, NE
KUGLER VISION PC
OMAHA, NE

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 PETER SIMONE, M.D., PH.D.. Source: openpaymentsdata.cms.gov.

Total received

$267

Largest payer

Alcon Vision LLC

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.

Brand vs generic prescribing mix · Above average

PETER SIMONE, M.D., PH.D. — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 627 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

627
Total Claims
$49K
Total Drug Cost
180
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
972
Total Day Supply
25,572
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$37K
Generic Drug Cost
$11K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.12
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PETER SIMONE, M.D., PH.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
220
Timolol Maleate
81
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
39
Erythromycin
Erythromycin Base
35
Prednisolone Acetate
34
Brimonidine Tartrate
32
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
19
Restasis
Cyclosporine
18
Dorzolamide Hcl
17
Ketorolac Tromethamine
17

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

Ophthalmology Physician Overview

How PETER SIMONE, M.D., PH.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

PETER SIMONE, M.D., PH.D.'s 627 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Nebraska

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER SIMONE, M.D., PH.D.'s specialty?
PETER SIMONE, M.D., PH.D. specializes in Ophthalmology Physician and practices in OMAHA, Nebraska. Credentials: M.D., PH.D..
How much does PETER SIMONE, M.D., PH.D. prescribe under Medicare Part D?
In 2023, PETER SIMONE, M.D., PH.D. wrote 627 Medicare Part D claims totaling $49K in drug costs for 180 beneficiaries.
What is PETER SIMONE, M.D., PH.D.'s Medicare quality score?
PETER SIMONE, M.D., PH.D. has a CMS MIPS Final Score of 81.8719/100 (Quality: 100, Cost: 39.573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER SIMONE, M.D., PH.D. located?
PETER SIMONE, M.D., PH.D. is located at 16820 FRANCES ST STE 100, OMAHA, NE, 68130. Phone: (402) 933-6600.
What is PETER SIMONE, M.D., PH.D.'s NPI number?
PETER SIMONE, M.D., PH.D.'s National Provider Identifier (NPI) is 1144630468, issued on 05/08/2014.
Does PETER SIMONE, M.D., PH.D. prescribe more brand-name or generic drugs?
PETER SIMONE, M.D., PH.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $37K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does PETER SIMONE, M.D., PH.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER SIMONE, M.D., PH.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER SIMONE, M.D., PH.D. accept Medicare?
PETER SIMONE, M.D., PH.D. appears in CMS Medicare data with 627 Part D claims and 180 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER SIMONE, M.D., PH.D.'s credentials?
PETER SIMONE, M.D., PH.D.'s NPI is 1144630468 with credentials M.D., PH.D.. 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