2026 NPPES data Legal Medicine NPI 1598771834 MD
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SIMON SIMONIAN, MD

Legal Medicine in LOS ANGELES, California. 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
558
Medicare Part D claims · 198 beneficiaries · Legal Medicine avg: 3K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]

What the federal data shows

SIMON SIMONIAN, MD reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 558 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
558
Part D claims, 2023

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 SIMONIAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about SIMON SIMONIAN, MD?

Below national average

NPI registry status

Active

Issued 07/31/2006

NPI 1598771834

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

558 80% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Legal Medicine compares to other specialties among California providers

California providers

Legal Medicine share within California

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within California

Medicare quality performance — MIPS

SIMON SIMONIAN, MD's 2023 MIPS final score plotted against the Legal Medicine national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Legal Medicine) — 0/100 vs national avg 83.1

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 SIMONIAN, MD appears in the CMS NPPES registry as a Legal Medicine provider holding MD credentials at 7080 HOLLYWOOD BLVD STE 919, LOS ANGELES, CA, 90028, with a listed phone of (323) 462-2092. NPI 1598771834 was issued on 07/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMONIAN 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 558 prescription claims written by this provider, covering 198 Medicare beneficiaries and totaling roughly $24K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

7080 HOLLYWOOD BLVD STE 919
LOS ANGELES, CA 90028

Provider Details

NPI 1598771834
Specialty Legal Medicine
Credentials MD
Gender Male
NPI Issued 07/31/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SIMON SIMONIAN, MD. To verify SIMON SIMONIAN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

558
Total Claims
$24K
Total Drug Cost
198
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
760
Total Day Supply
20,813
Generic Drug Cost
$22K
Antibiotic Claims
34

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.56
Gender Split
59% female / 41% male
Age Distribution
<65: 16, 65-74: 88, 75-84: 64, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What SIMON SIMONIAN, MD 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
Omeprazole
112
Fluticasone Propionate
104
Fluocinonide
58
Famotidine
35
Azithromycin
28
Ofloxacin
28
Dexlansoprazole Dr
Dexlansoprazole
19
Montelukast Sodium
16
Pantoprazole Sodium
15
Citalopram Hbr
Citalopram Hydrobromide
14

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

Legal Medicine Overview

How SIMON SIMONIAN, MD fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

SIMON SIMONIAN, MD's 558 claims are below the specialty average of 2,821.

Nearby Legal Medicine Providers in California

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is SIMON SIMONIAN, MD's specialty?
SIMON SIMONIAN, MD specializes in Legal Medicine and practices in LOS ANGELES, California. Credentials: MD.
How much does SIMON SIMONIAN, MD prescribe under Medicare Part D?
In 2023, SIMON SIMONIAN, MD wrote 558 Medicare Part D claims totaling $24K in drug costs for 198 beneficiaries.
What is SIMON SIMONIAN, MD's Medicare quality score?
SIMON SIMONIAN, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SIMON SIMONIAN, MD located?
SIMON SIMONIAN, MD is located at 7080 HOLLYWOOD BLVD STE 919, LOS ANGELES, CA, 90028. Phone: (323) 462-2092.
What is SIMON SIMONIAN, MD's NPI number?
SIMON SIMONIAN, MD's National Provider Identifier (NPI) is 1598771834, issued on 07/31/2006.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does SIMON SIMONIAN, MD prescribe most often?
Based on 2023 Medicare Part D data, SIMON SIMONIAN, MD's most frequently prescribed drugs include Omeprazole, Fluticasone Propionate, Fluocinonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SIMON SIMONIAN, MD accept Medicare?
SIMON SIMONIAN, MD appears in CMS Medicare data with 558 Part D claims and 198 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SIMON SIMONIAN, MD's credentials?
SIMON SIMONIAN, MD's NPI is 1598771834 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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