NPPES file of Aug 9, 2026

Shira Sivan Simon, M.D., M.B.A.

Ophthalmology Physician · Chicago, IL

Shira Sivan Simon, M.D., M.B.A. is an ophthalmology physician with a practice address in Chicago, Illinois, and NPI 1659632420, issued on Jun 7, 2012. Check the license (Illinois 036.144693, 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
1659632420
Name
Shira Sivan Simon
Credential
M.D., M.B.A.
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
036.144693 IL
MD-43371 IA
Self-reported in NPPES; status is on the state search
Practice location
259 E Erie St, Chicago, IL 60611
Phone
(312) 695-6868
Enumerated
Jun 7, 2012
Record last updated
Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180329001564); accepts Medicare assignment
Medical or professional school
Harvard Medical School, 2012
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 259 E Erie St

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

  1. Adeola Adeoye, APNAcute Care Nurse Practitioner1598103459
  2. Ann Allie, M.D.Geriatric Medicine (Internal Medicine) Physician1619162955
  3. Kenneth Arbetter, MDInternal Medicine Physician1336132851
  4. Elizabeth Bailey, P.A.Physician Assistant1154670198
  5. Kent Bailey, M.D.Emergency Medicine Physician1821171844
  6. Lia Bernardi, M.D.Reproductive Endocrinology Physician1467784579

Verify Shira Sivan 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 036.144693
    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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95% fewer Medicare Part D claims than the average ophthalmology physician in 2024

76 Medicare Part D claims for 28 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D.

  1. Shira Simon76
  2. Specialty average1,518

Most prescribed

  1. Erythromycin18 claims
  2. Prednisone12 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).

Bills Medicare through one group practice

  1. Northwestern Medical Faculty FoundationChicago, IL

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

Shira Sivan Simon among 898 ophthalmology physician records in Illinois

Shira Sivan Simon, M.D., M.B.A. is one of 898 ophthalmology physician records with a practice address in Illinois. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 75% of them.

  • NPI issued2012 · 75% of these records are older, 23% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2012 · median 1999 among the 551 with a school on file
  • Record last updated2018 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Illinois

There are 898 ophthalmology physician records in Illinois.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Ann Bidwell, MDChicago, IL 606111144296823
  2. Paul Bryar, MDChicago, IL 606111114986536
  3. Manjot Gill, MDChicago, IL 606111396776894
  4. Peter Holland, MDChicago, IL 606111720063605
  5. Lee Jampol, MDChicago, IL 606111073547303
  6. Alice Lyon, MDChicago, IL 606111992737969
  7. Jonathan McGlothan, M.D.Chicago, IL 606111154374973
  8. Rukhsana Mirza, M.D.Chicago, IL 606111033163530

Common questions

What is Shira Sivan Simon, M.D., M.B.A.'s NPI number?

Shira Sivan Simon, M.D., M.B.A.'s National Provider Identifier (NPI) is 1659632420, issued on Jun 7, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Shira Sivan Simon, M.D., M.B.A. located?

The NPPES record lists a practice address at 259 E Erie St, Chicago, IL, 60611. Phone: (312) 695-6868. Providers update this record themselves, so call before visiting.

How can I verify Shira Sivan Simon, M.D., M.B.A.'s license?

NPPES lists Illinois license number 036.144693, 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 Shira Sivan Simon, M.D., M.B.A. prescribe under Medicare Part D?

In 2024, Shira Sivan Simon, M.D., M.B.A. had 76 Medicare Part D claims for 28 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Shira Sivan Simon, M.D., M.B.A.'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.