2026 NPPES data Otolaryngology Physician NPI 1972063378 MD
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Simone Barker, MD

Otolaryngology Physician in Folsom, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,895 in Otolaryngology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
232
Medicare Part D claims · 116 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$849.88
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Simone Barker, MD filed 232 Medicare Part D claims in 2023 as a Otolaryngology Physician in Folsom, California, prescribing 95% generic.

232
Part D claims, 2023
95%
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.

Simone Barker, MD's Medicare Part D volume vs every U.S. prescriber

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

232 49th percentile higher than 49% of 1,370,886 prescribers

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

Simone Barker, MD 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 Simone Barker, MD?

Quality data not reported

NPI registry status

Active

Issued 03/21/2019

NPI 1972063378

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

232 54% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in California

How Otolaryngology Physician compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Otolaryngology Physician - 0.1%Otolaryngology Physician0.1%
Largest specialties in California (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Otolaryngology Physician. Verify directly:

How MIPS and board certification work

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).

Simone Barker, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1561 CREEKSIDE DR STE 180, Folsom, CA, 95630, with a listed phone of (916) 984-8830. NPI 1972063378 was issued on 03/21/2019.

Medicare Part D records for calendar year 2023 show 232 prescription claims written by this provider, covering 116 Medicare beneficiaries and totaling roughly $5K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 25.0%.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1561 CREEKSIDE DR STE 180
Folsom, CA 95630

Provider Details

NPI 1972063378
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 03/21/2019

Hospital and facility affiliations

Facilities where Simone Barker, MD 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.

Sacramento Ear Nose And Throat Surgical And Medical Group Inc
Folsom, CA

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 Simone Barker, MD. Source: openpaymentsdata.cms.gov.

Total received

$850

Largest payer

Stryker Corporation

Most common payment type

Travel and Lodging

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 - 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 Simone Barker, MD. To verify Simone Barker, 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.

Brand vs generic prescribing mix · Generic-heavy

Simone Barker, MD - brand share 5.0%
Otolaryngology Physician average

5% brand-name claims vs 95% generic, on 232 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.

232
Total Claims
$5K
Total Drug Cost
116
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
296
Total Day Supply
4,680
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$3K
Opioid Claims
58 (25.0% rate)
Antibiotic Claims
52

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.38
Gender Split
41% female / 59% male

Top Prescribed Drugs (Medicare Part D)

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

What Simone Barker, 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
Oxycodone Hcl
32
Cephalexin
25
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16
Ondansetron Odt
Ondansetron
16
Levothyroxine Sodium
13
Ipratropium Bromide
12

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

Otolaryngology Physician Overview

How Simone Barker, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

Simone Barker, MD's 232 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in California

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Otolaryngology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Simone Barker, MD's specialty?
Simone Barker, MD specializes in Otolaryngology Physician and practices in Folsom, California. Credentials: MD.
How much does Simone Barker, MD prescribe under Medicare Part D?
In 2023, Simone Barker, MD wrote 232 Medicare Part D claims totaling $5K in drug costs for 116 beneficiaries.
Where is Simone Barker, MD located?
Simone Barker, MD is located at 1561 CREEKSIDE DR STE 180, Folsom, CA, 95630. Phone: (916) 984-8830.
What is Simone Barker, MD's NPI number?
Simone Barker, MD's National Provider Identifier (NPI) is 1972063378, issued on 03/21/2019.
Does Simone Barker, MD prescribe more brand-name or generic drugs?
Simone Barker, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does Simone Barker, MD prescribe opioids?
Yes, Simone Barker, MD had 58 opioid claims in 2023 with an opioid prescribing rate of 25.0%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does Simone Barker, MD prescribe most often?
Based on 2023 Medicare Part D data, Simone Barker, MD's most frequently prescribed drugs include Oxycodone Hcl, Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Simone Barker, MD accept Medicare?
Simone Barker, MD appears in CMS Medicare data with 232 Part D claims and 116 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Simone Barker, MD's credentials?
Simone Barker, MD's NPI is 1972063378 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.