NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1043653264 M.D.
Verify on CMS → Tommie Simon, M.D.
Rheumatology Physician in Lawton, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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
2K
Medicare Part D claims · 449 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
84.1/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$155.99
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Tommie Simon, M.D. reported a CMS MIPS final score of 84.1/100 - above the 83.1 national average - and filed 2,260 Medicare Part D claims in 2023.
- 84.1/100
- MIPS score · +1 vs avg
- 2K
- 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.
Tommie Simon, 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
84 45th percentile higher than 45% of 477,587 scored providers
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
Where Tommie Simon, M.D. sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Tommie Simon, M.D. writes more Part D claims than 58% of them and scores higher on MIPS quality than 48% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Tommie Simon, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Tommie Simon, M.D. 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).
What does the federal data show about Tommie Simon, M.D.?
Near national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
2,260 10% vs specialty avg
MIPS final score
84.1/100 1 pts vs avg
Specialty distribution in Oklahoma
How Rheumatology Physician compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
Tommie Simon, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 84.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 84.1/100 vs national avg 83.1
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).
Tommie Simon, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 6401 SW LEE BLVD, Lawton, OK, 73505, with a listed phone of (580) 699-5139. NPI 1043653264 was issued on 04/08/2013.
Medicare Part D records for calendar year 2023 show 2,260 prescription claims written by this provider, covering 449 Medicare beneficiaries and totaling roughly $2.6 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.1/100 for the 2023 performance year (Quality 71.6), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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
Provider Details
| NPI | 1043653264 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/08/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.0991
Final Score
Avg: 83.1
71.6347
Quality
99
Promoting Interoperability
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 Tommie Simon, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$156
Largest payer
Janssen Biotech, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,260
Total Claims
$2.6M
Total Drug Cost
449
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,282
- Total Day Supply
- 126,454
- Generic Drug Cost
- $61K
Patient Demographics
- Average Patient Age
- 68.4 years
- Avg HCC Risk Score
- 1.38
- Gender Split
- 79% female / 21% male
- Age Distribution
- <65: 129, 65-74: 183, 75-84: 118, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tommie Simon, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Duloxetine Hcl
Duloxetine Hcl
332 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
329 claims
- Methotrexate
Methotrexate
314 claims
- Gabapentin
Gabapentin
177 claims
- Humira(Cf) Pen 123
Humira(Cf) Pen
123 claims
- Meloxicam 101
Meloxicam
101 claims
- Rinvoq 71
Rinvoq
71 claims
- Cyclobenzaprine Hcl 56
Cyclobenzaprine Hcl
56 claims
| Drug | Claims |
|---|---|
| Duloxetine Hcl | 332 |
| Hydroxychloroquine Sulfate | 329 |
| Methotrexate Methotrexate Sodium | 314 |
| Gabapentin | 177 |
| Humira(Cf) Pen Adalimumab | 123 |
| Meloxicam | 101 |
| Rinvoq Upadacitinib | 71 |
| Cyclobenzaprine Hcl | 56 |
| Prednisone | 54 |
| Enbrel Sureclick Etanercept | 52 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Tommie Simon, M.D. fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Tommie Simon, M.D.'s 2,260 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Simon.
Dr. Sobia Ahmad
MD
Norman, OK
Dr. Bushra Akram
MD
Oklahoma City, OK
Dr. Robert Arthur
MD
Oklahoma City, OK
Dr. Nimrah Bader
MD
Oklahoma City, OK
Dr. Lauren Barrett
PA-C
Oklahoma City, OK
Compare Rheumatology 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 Oklahoma medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
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Frequently Asked Questions
What is Tommie Simon, M.D.'s specialty? ▼
Tommie Simon, M.D. specializes in Rheumatology Physician and practices in Lawton, Oklahoma. Credentials: M.D..
How much does Tommie Simon, M.D. prescribe under Medicare Part D? ▼
In 2023, Tommie Simon, M.D. wrote 2,260 Medicare Part D claims totaling $2.6M in drug costs for 449 beneficiaries.
What is Tommie Simon, M.D.'s Medicare quality score? ▼
Tommie Simon, M.D. has a CMS MIPS Final Score of 84.1/100 (Quality: 71.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tommie Simon, M.D. located? ▼
Tommie Simon, M.D. is located at 6401 SW LEE BLVD, Lawton, OK, 73505. Phone: (580) 699-5139.
What is Tommie Simon, M.D.'s NPI number? ▼
Tommie Simon, M.D.'s National Provider Identifier (NPI) is 1043653264, issued on 04/08/2013.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Tommie Simon, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Tommie Simon, M.D.'s most frequently prescribed drugs include Duloxetine Hcl, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tommie Simon, M.D. accept Medicare? ▼
Tommie Simon, M.D. appears in CMS Medicare data with 2,260 Part D claims and 449 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tommie Simon, M.D.'s credentials? ▼
Tommie Simon, M.D.'s NPI is 1043653264 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.