2026 NPPES data Family Medicine Physician NPI 1093754780 DO
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SIMON MELNICK, DO

Family Medicine Physician in FALL RIVER, Massachusetts. 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
4K
Medicare Part D claims · 437 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
47 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SIMON MELNICK, DO filed 3,573 Medicare Part D claims in 2023 as a Family Medicine Physician in FALL RIVER, Massachusetts, prescribing 88% generic.

4K
Part D claims, 2023
88%
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.

SIMON MELNICK, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,573 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

SIMON MELNICK, DO 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).

What does the federal data show about SIMON MELNICK, DO?

Quality data not reported

NPI registry status

Active

Issued 06/06/2006

NPI 1093754780

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,573 5% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Massachusetts

How Family Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Family Medicine Physician share within Massachusetts

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine 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).

SIMON MELNICK, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 400 STANLEY ST, FALL RIVER, MA, 02720, with a listed phone of (508) 675-1054. NPI 1093754780 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MELNICK 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 3,573 prescription claims written by this provider, covering 437 Medicare beneficiaries and totaling roughly $338K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.1%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

400 STANLEY ST
FALL RIVER, MA 02720

Provider Details

NPI 1093754780
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 06/06/2006

Hospital and facility affiliations

Facilities where SIMON MELNICK, DO 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.

PRIMA CARE, PC
SOMERSET, MA

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 SIMON MELNICK, DO. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

AstraZeneca Pharmaceuticals LP

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to SIMON MELNICK, DO. To verify SIMON MELNICK, DO's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SIMON MELNICK, DO — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,573 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.

3,573
Total Claims
$338K
Total Drug Cost
437
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,581
Total Day Supply
190,820
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$278K
Generic Drug Cost
$60K
Opioid Claims
39 (1.1% rate)
Antibiotic Claims
103

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.13
Gender Split
49% female / 51% male
Age Distribution
<65: 85, 65-74: 194, 75-84: 117, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

What SIMON MELNICK, DO 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
Lisinopril
207
Simvastatin
176
Omeprazole
145
Alprazolam
136
Atorvastatin Calcium
120
Lorazepam
111
Amlodipine Besylate
95
Albuterol Sulfate Hfa
Albuterol Sulfate
91
Gabapentin
91
Metformin Hcl Er
Metformin Hcl
81

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

Family Medicine Physician Overview

How SIMON MELNICK, DO fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SIMON MELNICK, DO's 3,573 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Massachusetts

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SIMON MELNICK, DO's specialty?
SIMON MELNICK, DO specializes in Family Medicine Physician and practices in FALL RIVER, Massachusetts. Credentials: DO.
How much does SIMON MELNICK, DO prescribe under Medicare Part D?
In 2023, SIMON MELNICK, DO wrote 3,573 Medicare Part D claims totaling $338K in drug costs for 437 beneficiaries.
Where is SIMON MELNICK, DO located?
SIMON MELNICK, DO is located at 400 STANLEY ST, FALL RIVER, MA, 02720. Phone: (508) 675-1054.
What is SIMON MELNICK, DO's NPI number?
SIMON MELNICK, DO's National Provider Identifier (NPI) is 1093754780, issued on 06/06/2006.
Does SIMON MELNICK, DO prescribe more brand-name or generic drugs?
SIMON MELNICK, DO's prescribing is 12% brand-name and 88% generic drugs by claim count, with $278K in brand drug costs.
Does SIMON MELNICK, DO prescribe opioids?
Yes, SIMON MELNICK, DO had 39 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SIMON MELNICK, DO prescribe most often?
Based on 2023 Medicare Part D data, SIMON MELNICK, DO's most frequently prescribed drugs include Lisinopril, Simvastatin, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SIMON MELNICK, DO accept Medicare?
SIMON MELNICK, DO appears in CMS Medicare data with 3,573 Part D claims and 437 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SIMON MELNICK, DO's credentials?
SIMON MELNICK, DO's NPI is 1093754780 with credentials DO. 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