2026 NPPES data Surgical Critical Care Physician NPI 1285796516
Verify on CMS →

RONALD SIMON

Surgical Critical Care Physician in BRONX, New York. 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
11
Medicare Part D claims · Surgical Critical Care Physician avg: 86
Industry payments
$104.08
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RONALD SIMON is a Surgical Critical Care Physician ([object Object]) practicing in BRONX, New York with a Medicare Part D prescribing footprint of 11 claims . Industry payments of $104.08 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RONALD SIMON filed 11 Medicare Part D claims in 2023 across BRONX, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RONALD SIMON practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RONALD SIMON at a glance

Quality data not reported

NPI registry status

Active

Issued 12/14/2006

NPI 1285796516

Primary specialty

Surgical Critical Care Physician

Niche

1,468 US NPIs in this specialty

Medicare Part D claims

11 87% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in New York

How Surgical Critical Care Physician compares to other specialties among New York providers

New York providers

Surgical Critical Care Physician share within New York

1. Surgical Critical Care Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgical Critical Care Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Surgical Critical Care Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgical Critical Care Physician ABMS/AOA estimate

Est. board-certified rate (Surgical Critical Care Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgical Critical Care Physician) — ABMS / AOA estimate

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).

RONALD SIMON is a Surgical Critical Care Physician provider practicing in BRONX, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1285796516. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RONALD SIMON appears in the CMS NPPES registry as a Surgical Critical Care Physician provider at 1400 PELHAM PKWY S, BRONX, NY, 10461, with a listed phone of (718) 918-3060. NPI 1285796516 was issued on 12/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMON 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $698 in drug spend. 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.

Surgical Critical Care Physician is a narrow specialty nationwide, with 1,468 enrolled providers across 53 states and an average of 86 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

1400 PELHAM PKWY S
BRONX, NY 10461

Provider Details

NPI 1285796516
Specialty Surgical Critical Care Physician
Gender Male
NPI Issued 12/14/2006

Hospital and facility affiliations

Facilities where RONALD SIMON 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.

MAIMONIDES FACULTY PRACTICE PLAN
BROOKLYN, NY

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 RONALD SIMON. Source: openpaymentsdata.cms.gov.

Total received

$104

Largest payer

PolyNovo North America 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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to RONALD SIMON. To verify RONALD SIMON's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

11
Total Claims
$698
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11
Total Day Supply
153

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
2.15

Surgical Critical Care Physician Overview

How RONALD SIMON fits within the Surgical Critical Care Physician landscape nationally.

1,468
Surgical Critical Care Physician Providers in US
53
States with Surgical Critical Care Physician
86
Avg Claims per Provider

RONALD SIMON's 11 claims are below the specialty average of 86.

Nearby Surgical Critical Care Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SIMON.

Compare Surgical Critical Care Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RONALD SIMON's specialty?
RONALD SIMON specializes in Surgical Critical Care Physician and practices in BRONX, New York.
How much does RONALD SIMON prescribe under Medicare Part D?
In 2023, RONALD SIMON wrote 11 Medicare Part D claims totaling $698 in drug costs for N/A beneficiaries.
Where is RONALD SIMON located?
RONALD SIMON is located at 1400 PELHAM PKWY S, BRONX, NY, 10461. Phone: (718) 918-3060.
What is RONALD SIMON's NPI number?
RONALD SIMON's National Provider Identifier (NPI) is 1285796516, issued on 12/14/2006.
How many Surgical Critical Care Physician providers are there in the US?
There are 1,468 Surgical Critical Care Physician providers across 53 states in the US. The average Surgical Critical Care Physician provider writes 86 Medicare Part D claims per year.
Does RONALD SIMON accept Medicare?
RONALD SIMON appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RONALD SIMON's credentials?
RONALD SIMON's NPI is 1285796516. 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.
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