NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1992773063 MD
Verify on CMS → Philip Simonian, MD
Pulmonary Disease Physician in Aurora, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
358
Medicare Part D claims · 113 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Philip Simonian, MD filed 358 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Aurora, Colorado, prescribing 86% generic.
- 358
- Part D claims, 2023
- 86%
- 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.
Philip Simonian, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
358 Top 43% higher than 57% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Philip Simonian, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 4 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 Philip Simonian, MD?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
358 75% vs specialty avg
Specialty distribution in Colorado
How Pulmonary Disease Physician compares to other specialties among Colorado providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
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).
Philip Simonian, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 12605 E 16TH AVE, Aurora, CO, 80045, with a listed phone of (720) 848-0000. NPI 1992773063 was issued on 03/14/2006.
Medicare Part D records for calendar year 2023 show 358 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $21K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 5.3%.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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
Provider Details
| NPI | 1992773063 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/14/2006 |
Hospital and facility affiliations
Facilities where Philip Simonian, 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.
According to CMS billing records, Philip Simonian, MD is affiliated with 4 Medicare-billing facilities.
Catholic Health Initiatives Colorado
Longmont, CO
Colorado Hospitalist Services, PLLC
Englewood, CO
Hospital Medicine Services OF Colorado, LLC
Englewood, CO
Montrose Memorial Hospital, Inc
Montrose, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Philip Simonian, MD - brand share 14.0%
Pulmonary Disease Physician average
14% brand-name claims vs 86% generic, on 358 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.
358
Total Claims
$21K
Total Drug Cost
113
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 394
- Total Day Supply
- 7,229
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $17K
- Generic Drug Cost
- $4K
- Opioid Claims
- 19 (5.3% rate)
- Antibiotic Claims
- 58
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 2.24
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 19, 65-74: 45, 75-84: 38, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Philip Simonian, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
23 claims
- Lisinopril
Lisinopril
21 claims
- Levothyroxine Sodium
Levothyroxine Sodium
20 claims
- Gabapentin
Gabapentin
19 claims
- Pravastatin Sodium
Pravastatin Sodium
18 claims
- Tradjenta
Tradjenta
18 claims
- Eliquis
Eliquis
14 claims
- Clopidogrel
Clopidogrel
13 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 23 |
| Lisinopril | 21 |
| Levothyroxine Sodium | 20 |
| Gabapentin | 19 |
| Pravastatin Sodium | 18 |
| Tradjenta Linagliptin | 18 |
| Eliquis Apixaban | 14 |
| Clopidogrel Clopidogrel Bisulfate | 13 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
| Doxycycline Hyclate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Philip Simonian, MD fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Philip Simonian, MD's 358 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Simonian.
Dr. Neil Aggarwal
MD
Aurora, CO
Dr. Richard Albert
MD
Aurora, CO
William Alling
Pueblo, CO
Dr. Ahmad Alsaleem
M.D.
Greenwood Village, CO
Dr. Sam Ancheril
MD
Greenwood Village, CO
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Philip Simonian, MD's specialty? ▼
Philip Simonian, MD specializes in Pulmonary Disease Physician and practices in Aurora, Colorado. Credentials: MD.
How much does Philip Simonian, MD prescribe under Medicare Part D? ▼
In 2023, Philip Simonian, MD wrote 358 Medicare Part D claims totaling $21K in drug costs for 113 beneficiaries.
Where is Philip Simonian, MD located? ▼
Philip Simonian, MD is located at 12605 E 16TH AVE, Aurora, CO, 80045. Phone: (720) 848-0000.
What is Philip Simonian, MD's NPI number? ▼
Philip Simonian, MD's National Provider Identifier (NPI) is 1992773063, issued on 03/14/2006.
Does Philip Simonian, MD prescribe more brand-name or generic drugs? ▼
Philip Simonian, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $17K in brand drug costs.
Does Philip Simonian, MD prescribe opioids? ▼
Yes, Philip Simonian, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Philip Simonian, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Philip Simonian, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philip Simonian, MD accept Medicare? ▼
Philip Simonian, MD appears in CMS Medicare data with 358 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip Simonian, MD's credentials? ▼
Philip Simonian, MD's NPI is 1992773063 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
Compiled from official public sources by the PlainDoctor editorial team.