2026 NPPES data Gastroenterology Physician NPI 1225073489 DO
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TODD SIMON, DO

Gastroenterology Physician in ATLANTIS, Florida. 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
1K
Medicare Part D claims · 590 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$873.14
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TODD SIMON, DO filed 1,294 Medicare Part D claims in 2023 as a Gastroenterology Physician in ATLANTIS, Florida, prescribing 84% generic.

1K
Part D claims, 2023
84%
generic prescribing
$873.14
industry payments (Sunshine Act)

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.

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

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

1,294 Top 22% higher than 78% 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%). This entry sits in this band. 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. 2,000–2,200: 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-eligible specialty (heuristic — not verified)

TODD SIMON, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

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

Quality data not reported

NPI registry status

Active

Issued 06/19/2006

NPI 1225073489

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,294 55% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

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

Specialty board-certification context

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

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

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

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

TODD SIMON, DO appears in the CMS NPPES registry as a Gastroenterology Physician provider holding DO credentials at 5401 S CONGRESS AVE STE 211, ATLANTIS, FL, 33462, with a listed phone of (561) 964-8221. NPI 1225073489 was issued on 06/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMON 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 1,294 prescription claims written by this provider, covering 590 Medicare beneficiaries and totaling roughly $180K in drug spend, split 16% brand-name and 84% 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

5401 S CONGRESS AVE STE 211
ATLANTIS, FL 33462

Provider Details

NPI 1225073489
Specialty Gastroenterology Physician
Credentials DO
Gender Male
NPI Issued 06/19/2006

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

Total received

$873

Largest payer

ABBVIE 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to TODD SIMON, DO. To verify TODD SIMON, DO's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TODD SIMON, DO — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,294 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.

1,294
Total Claims
$180K
Total Drug Cost
590
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,488
Total Day Supply
60,730
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$132K
Generic Drug Cost
$48K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.57
Gender Split
49% female / 51% male
Age Distribution
<65: 32, 65-74: 303, 75-84: 227, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What TODD SIMON, 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
Omeprazole
351
Dicyclomine Hcl
142
Pantoprazole Sodium
122
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
66
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
53
Hydrocortisone
44
Ondansetron Odt
Ondansetron
29
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
26
Zenpep
Lipase/Protease/Amylase
24
Mesalamine
22

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

Gastroenterology Physician Overview

How TODD SIMON, DO fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

TODD SIMON, DO's 1,294 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

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

Frequently Asked Questions

What is TODD SIMON, DO's specialty?
TODD SIMON, DO specializes in Gastroenterology Physician and practices in ATLANTIS, Florida. Credentials: DO.
How much does TODD SIMON, DO prescribe under Medicare Part D?
In 2023, TODD SIMON, DO wrote 1,294 Medicare Part D claims totaling $180K in drug costs for 590 beneficiaries.
Where is TODD SIMON, DO located?
TODD SIMON, DO is located at 5401 S CONGRESS AVE STE 211, ATLANTIS, FL, 33462. Phone: (561) 964-8221.
What is TODD SIMON, DO's NPI number?
TODD SIMON, DO's National Provider Identifier (NPI) is 1225073489, issued on 06/19/2006.
Does TODD SIMON, DO prescribe more brand-name or generic drugs?
TODD SIMON, DO's prescribing is 16% brand-name and 84% generic drugs by claim count, with $132K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does TODD SIMON, DO prescribe most often?
Based on 2023 Medicare Part D data, TODD SIMON, DO's most frequently prescribed drugs include Omeprazole, Dicyclomine Hcl, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD SIMON, DO accept Medicare?
TODD SIMON, DO appears in CMS Medicare data with 1,294 Part D claims and 590 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD SIMON, DO's credentials?
TODD SIMON, DO's NPI is 1225073489 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