Susan C. Simon, MD
NPI 1093704777ActiveIndividual· Internal Medicine· Westfield, NJ
Internal Medicine (MD) in Westfield, New Jersey, trained at Boston University School of Medicine (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $386,481 for 4,912 claims, against $181,977 paid for services in 2024. Otsuka America Pharmaceutical, Inc. reported $21.26 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1093704777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 17, 2005 |
| Last updated in NPPES | Jul 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA07075100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 354 |
|---|---|
| Services billed | 3,772 across 106 procedure codes |
| Paid by Medicare | $181,977 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,912 · 12,256 30-day fills |
|---|---|
| Patients | 453 |
| Total drug cost | $386,481 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Hospital affiliations
- Bayshore Medical CenterHolmdel, NJ
- Jfk University Medical CenterEdison, NJ
- Overlook Medical CenterSummit, NJ
Other facilities
- Atlantic Visiting NurseHome health agency · Morristown, NJ
Industry payments (Open Payments)
- 2024$21.26 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $21.26 | 1 |
What the 2024 payments were for
- Food and Beverage$21.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 internal medicine physicians in Westfield · All internal medicine physicians in New Jersey