2026 NPPES data General Practice Physician NPI 1154575090 MD
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SIMONA MARIE, MD

General Practice Physician in RICHLAND, Washington. 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
165
Medicare Part D claims · 72 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
11.6616/100
▼ 71 pts below national avg 83.1 · [object Object]
Industry payments
$23.36
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SIMONA MARIE, MD is a General Practice Physician ([object Object]) practicing in RICHLAND, Washington with a Medicare Part D prescribing footprint of 165 claims across 72 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 11.6616/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $23.36 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SIMONA MARIE, MD reported a CMS MIPS final score of 11.6616 out of 100, below the 83.1 national average, and filed 165 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SIMONA MARIE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SIMONA MARIE, MD at a glance

Below national average

NPI registry status

Active

Issued 11/05/2008

NPI 1154575090

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

165 94% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

11.6616/100 71.4384% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Washington

How General Practice Physician compares to other specialties among Washington providers

Washington providers

General Practice Physician share within Washington

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Washington

Medicare quality performance — MIPS

SIMONA MARIE, MD's 2023 MIPS final score plotted against the General Practice Physician national average

Below national average
MIPS Final Score
11.6616/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 11.6616/100 vs national avg 83.1

0%100%National avg83%11.7%
MIPS final score (General Practice Physician) — 11.6616/100 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).

SIMONA MARIE, MD is a General Practice Physician provider practicing in RICHLAND, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154575090. 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.

SIMONA MARIE, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 1268 LEE BLVD, RICHLAND, WA, 99352, with a listed phone of (509) 942-2660. NPI 1154575090 was issued on 11/05/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARIE 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 165 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $22K in drug spend, split 25% brand-name and 75% generic by claim count. 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 11.6616/100 for the 2023 performance year (Quality 0, Cost 38.872), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

1268 LEE BLVD
RICHLAND, WA 99352

Provider Details

NPI 1154575090
Specialty General Practice Physician
Credentials MD
Gender Female
NPI Issued 11/05/2008

CMS Quality Score (MIPS)

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

11.6616
Final Score
Avg: 83.1
0
Quality
38.872
Cost

Reporting: Individual

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 SIMONA MARIE, MD. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Smith+Nephew, Inc.

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to SIMONA MARIE, MD. To verify SIMONA MARIE, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SIMONA MARIE, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 165 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.

165
Total Claims
$22K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
166
Total Day Supply
2,105
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$20K
Generic Drug Cost
$2K
Antibiotic Claims
83

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
3.31
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Santyl
Collagenase Clostridium Hist.
42
Doxycycline Monohydrate
31
Lidocaine Hcl
21
Levofloxacin
16
Gentamicin Sulfate
13
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11

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

General Practice Physician Overview

How SIMONA MARIE, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

SIMONA MARIE, MD's 165 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Washington

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SIMONA MARIE, MD's specialty?
SIMONA MARIE, MD specializes in General Practice Physician and practices in RICHLAND, Washington. Credentials: MD.
How much does SIMONA MARIE, MD prescribe under Medicare Part D?
In 2023, SIMONA MARIE, MD wrote 165 Medicare Part D claims totaling $22K in drug costs for 72 beneficiaries.
What is SIMONA MARIE, MD's Medicare quality score?
SIMONA MARIE, MD has a CMS MIPS Final Score of 11.6616/100 (Quality: 0, Cost: 38.872). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SIMONA MARIE, MD located?
SIMONA MARIE, MD is located at 1268 LEE BLVD, RICHLAND, WA, 99352. Phone: (509) 942-2660.
What is SIMONA MARIE, MD's NPI number?
SIMONA MARIE, MD's National Provider Identifier (NPI) is 1154575090, issued on 11/05/2008.
Does SIMONA MARIE, MD prescribe more brand-name or generic drugs?
SIMONA MARIE, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $20K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does SIMONA MARIE, MD prescribe most often?
Based on 2023 Medicare Part D data, SIMONA MARIE, MD's most frequently prescribed drugs include Santyl, Doxycycline Monohydrate, Lidocaine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SIMONA MARIE, MD accept Medicare?
SIMONA MARIE, MD appears in CMS Medicare data with 165 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SIMONA MARIE, MD's credentials?
SIMONA MARIE, MD's NPI is 1154575090 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