2026 NPPES data Sports Medicine (Neuromusculoskeletal Medicine) Physician NPI 1295710820 M.D
Verify on CMS →

STEPHEN SIMONICH, M.D

Sports Medicine (Neuromusculoskeletal Medicine) Physician in KATY, Texas. 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
134
Medicare Part D claims · 84 beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
MIPS score
82.3883/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
20 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STEPHEN SIMONICH, M.D reported a CMS MIPS final score of 82.3883/100 — below the 83.1 national average — and filed 134 Medicare Part D claims in 2023.

82.3883/100
MIPS score · -1 vs avg
134
Part D claims, 2023
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.

STEPHEN SIMONICH, M.D's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

STEPHEN SIMONICH, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 STEPHEN SIMONICH, M.D?

Near national average

NPI registry status

Active

Issued 12/06/2005

NPI 1295710820

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) Physician

Niche

552 US NPIs in this specialty

Medicare Part D claims

134 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,113

MIPS final score

82.3883/100 0.7116999999999933% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Sports Medicine (Neuromusculoskeletal Medicine) Physician compares to other specialties among Texas providers

Texas providers

Sports Medicine (Neuromusculoskeletal Medicine) Physician share within Texas

1. Sports Medicine (Neuromusculoskeletal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Neuromusculoskeletal Medicine) Physician share within Texas

Medicare quality performance — MIPS

STEPHEN SIMONICH, M.D's 2023 MIPS final score plotted against the Sports Medicine (Neuromusculoskeletal Medicine) Physician national average

Near national average
MIPS Final Score
82.3883/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) — 82.3883/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) — 82.3883/100 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).

STEPHEN SIMONICH, M.D is a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider practicing in KATY, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1295710820. 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.

STEPHEN SIMONICH, M.D appears in the CMS NPPES registry as a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider holding M.D credentials at 23910 KATY FWY STE 201, KATY, TX, 77494, with a listed phone of (713) 486-9800. NPI 1295710820 was issued on 12/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMONICH 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 134 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 28.4%. 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 82.3883/100 for the 2023 performance year (Quality 79.2344, Cost 58.5062), compared with the national average of 83.1.

Sports Medicine (Neuromusculoskeletal Medicine) Physician is a narrow specialty nationwide, with 552 enrolled providers across 51 states and an average of 1,113 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

23910 KATY FWY STE 201
KATY, TX 77494

Provider Details

NPI 1295710820
Specialty Sports Medicine (Neuromusculoskeletal Medicine) Physician
Credentials M.D
Gender Male
NPI Issued 12/06/2005

CMS Quality Score (MIPS)

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

82.3883
Final Score
Avg: 83.1
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where STEPHEN SIMONICH, M.D 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.

UT PHYSICIANS
KATY, TX

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 STEPHEN SIMONICH, M.D. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Arthrex, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to STEPHEN SIMONICH, M.D. To verify STEPHEN SIMONICH, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

134
Total Claims
$1K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
134
Total Day Supply
1,647
Generic Drug Cost
$938
Opioid Claims
38 (28.4% rate)

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.05
Gender Split
63% female / 37% 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
Methylprednisolone
33
Meloxicam
32
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
29
Ondansetron Hcl
26

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

Sports Medicine (Neuromusculoskeletal Medicine) Physician Overview

How STEPHEN SIMONICH, M.D fits within the Sports Medicine (Neuromusculoskeletal Medicine) Physician landscape nationally.

552
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in US
51
States with Sports Medicine (Neuromusculoskeletal Medicine) Physician
1,113
Avg Claims per Provider

STEPHEN SIMONICH, M.D's 134 claims are below the specialty average of 1,113.

Nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in Texas

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

Compare Sports Medicine (Neuromusculoskeletal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN SIMONICH, M.D's specialty?
STEPHEN SIMONICH, M.D specializes in Sports Medicine (Neuromusculoskeletal Medicine) Physician and practices in KATY, Texas. Credentials: M.D.
How much does STEPHEN SIMONICH, M.D prescribe under Medicare Part D?
In 2023, STEPHEN SIMONICH, M.D wrote 134 Medicare Part D claims totaling $1K in drug costs for 84 beneficiaries.
What is STEPHEN SIMONICH, M.D's Medicare quality score?
STEPHEN SIMONICH, M.D has a CMS MIPS Final Score of 82.3883/100 (Quality: 79.2344, Cost: 58.5062). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEPHEN SIMONICH, M.D located?
STEPHEN SIMONICH, M.D is located at 23910 KATY FWY STE 201, KATY, TX, 77494. Phone: (713) 486-9800.
What is STEPHEN SIMONICH, M.D's NPI number?
STEPHEN SIMONICH, M.D's National Provider Identifier (NPI) is 1295710820, issued on 12/06/2005.
Does STEPHEN SIMONICH, M.D prescribe opioids?
Yes, STEPHEN SIMONICH, M.D had 38 opioid claims in 2023 with an opioid prescribing rate of 28.4%.
How many Sports Medicine (Neuromusculoskeletal Medicine) Physician providers are there in the US?
There are 552 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers across 51 states in the US. The average Sports Medicine (Neuromusculoskeletal Medicine) Physician provider writes 1,113 Medicare Part D claims per year.
What drugs does STEPHEN SIMONICH, M.D prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN SIMONICH, M.D's most frequently prescribed drugs include Methylprednisolone, Meloxicam, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN SIMONICH, M.D accept Medicare?
STEPHEN SIMONICH, M.D appears in CMS Medicare data with 134 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN SIMONICH, M.D's credentials?
STEPHEN SIMONICH, M.D's NPI is 1295710820 with credentials M.D. 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