Jennifer Simon, O.D.
NPI 1194012401ActiveIndividual· Optometrist· Grand Rapids, MI
Optometrist (O.D.) in Grand Rapids, Michigan, trained at Ferris State College - College of Optometry (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $28,054 for 92 claims, against $6,926 paid for services in 2024. Lombart Brothers, Inc. was the largest of 3 companies reporting payments in 2025, $70.27 in all, mostly food and beverage.
Overview
| NPI | 1194012401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2011 |
| Last updated in NPPES | Jul 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004645 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 138 across 12 procedure codes |
| Paid by Medicare | $6,926 |
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 195 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $28,054 |
| Generic share | 68% of claims |
Education and affiliations
| Medical school | Ferris State College - College of Optometry |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Optometry |
Medical group
- Arsulowicz Eye Care LLCGrand Rapids, MI · 3 clinicians
Industry payments (Open Payments)
- 2025$70.27 · 3 payments from 3 companies
- 2024$158.70 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lombart Brothers, Inc. | $36.81 | 1 |
| Bausch & Lomb Americas Inc. | $17.88 | 1 |
| Tarsus Pharmaceuticals, Inc. | $15.58 | 1 |
What the 2025 payments were for
- Food and Beverage$70.27 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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