Robert Thomas Simon, MD
Internal Medicine Physician · Toms River, NJ
Robert Thomas Simon, MD is an internal medicine physician with a practice address in Toms River, New Jersey, and NPI 1538242037, issued on Oct 20, 2006. Check the license (New Jersey 25MA05304800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Robert Thomas Simon
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 25MA05304800 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 20 Hospital Dr, Toms River, NJ 08755
- Phone
- (732) 281-0530
- Enumerated
- Oct 20, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (732) 281-0534
- Medicare enrollment
- Enrolled (PECOS I20040608000292); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 1986
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 20 Hospital Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Margaret Chung, M.D.Infectious Disease Physician1578526489
- Patricia Comerford, APNPsychiatric/Mental Health Nurse Practitioner1477875698
- Charles Dume, APNPrimary Care Nurse Practitioner1992656631
- Susan Finkelstein, LCSWClinical Social Worker1568669141
- Edward Fiore Md PaFamily Medicine Physician1043300817
- Rakesh Gupta, M.D.Interventional Cardiology Physician1972554020
Verify Robert Thomas Simon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA05304800Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
51% more Medicare Part D claims than the average internal medicine physician in 2024
4,784 Medicare Part D claims for 620 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Atorvastatin Calcium440 claims
- Levothyroxine Sodium302 claims
- Metformin Hcl250 claims
- Lisinopril247 claims
- Amlodipine Besylate245 claims
- Alprazolam232 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 practice group's MIPS final score for 2023 (Medicare payment program): 80 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Deborah Cardiovascular Group, P.C.Browns Mills, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Robert Thomas Simon among 4,632 internal medicine physician records in New Jersey
Robert Thomas Simon, MD is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 50% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1986 · median 2000 among the 3,132 with a school on file
- Record last updated2007 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
104 internal medicine physician records list a practice address in Toms River
They are 104 of the 2,671 NPPES records with a practice address in Toms River, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Toms River → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Thanaa Nelly Abraham, MDToms River, NJ 087551568442424
- Luzminda Anama, M.D.Toms River, NJ 087551487647202
- Victor Bugay, MDToms River, NJ 087551568416352
- Gregory Cuozzo, MDToms River, NJ 087551013962166
- Dilip Desai, M.D. PAToms River, NJ 087551144213794
- Anjana Mathur, M.D.Toms River, NJ 087551306895982
- Akshay Patel, MDToms River, NJ 087551396737581
- Benny Riviello, DOToms River, NJ 087551326011214
Common questions
What is Robert Thomas Simon, MD's NPI number?
Robert Thomas Simon, MD's National Provider Identifier (NPI) is 1538242037, issued on Oct 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Robert Thomas Simon, MD located?
The NPPES record lists a practice address at 20 Hospital Dr, Toms River, NJ, 08755. Phone: (732) 281-0530. Providers update this record themselves, so call before visiting.
How can I verify Robert Thomas Simon, MD's license?
NPPES lists New Jersey license number 25MA05304800, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Robert Thomas Simon, MD prescribe under Medicare Part D?
In 2024, Robert Thomas Simon, MD had 4,784 Medicare Part D claims for 620 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Robert Thomas Simon, MD's MIPS final score?
The 2023 MIPS final score is 80 of 100, reported for the practice group. 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.