Simon Melnick, DO
NPI 1093754780ActiveIndividual· Family Medicine· Somerset, MA
Family Medicine (DO) in Somerset, Massachusetts, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $433,612 for 6,356 claims, against $87,164 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 10 companies reporting payments in 2025, $802.73 in all, mostly food and beverage.
Overview
| NPI | 1093754780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 270103 | MA |
| Family Medicine | 207Q00000X | DO00518 | RI |
| General Practice | 208D00000X | DO00518 | RI |
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 - Family Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 251 |
|---|---|
| Services billed | 3,742 across 69 procedure codes |
| Paid by Medicare | $87,164 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,356 · 12,439 30-day fills |
|---|---|
| Patients | 453 |
| Total drug cost | $433,612 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Family Practice |
Medical group
- Prima Care, PCFall River, MA · 220 clinicians
Hospital affiliations
- Saint Anne's HospitalFall River, MA
- Southcoast Hospitals GroupFall River, MA
Other facilities
- Accentcare Home Health of MassachusettsHome health agency · Fall River, MA
- Southcoast Visiting Nurse Association IncHome health agency · Fairhaven, MA
Industry payments (Open Payments)
- 2025$802.73 · 38 payments from 10 companies
- 2024$1,180 · 53 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $496.47 | 23 |
| Lilly USA, LLC | $79.15 | 4 |
| Novo Nordisk Inc | $62.32 | 3 |
| Viatris Specialty LLC | $37.38 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26.37 | 1 |
What the 2025 payments were for
- Food and Beverage$802.73 · 38 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Somerset
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- 1598762734