Daniel J. Simon, MD
NPI 1205891512ActiveIndividual· Ophthalmology· Durham, NC
Ophthalmology (MD) in Durham, North Carolina, trained at State University of New York Downstate Medical Center (class of 2002). In 2024 Medicare paid $187,983 for 985 patients, and Part D covered 1,210 of their prescriptions, 58% of them generic. Alcon Vision LLC reported $279.08 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1205891512 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 19, 2006 |
| Last updated in NPPES | Sep 22, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 2006-00474 | NC |
| Ophthalmology | 207W00000X | TL28671 | SC |
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 - Ophthalmology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 985 |
|---|---|
| Services billed | 2,027 across 30 procedure codes |
| Paid by Medicare | $187,983 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,210 · 2,232 30-day fills |
|---|---|
| Patients | 363 |
| Total drug cost | $219,581 |
| Generic share | 58% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Ophthalmology |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliations
- Duke University HospitalDurham, NC
- North Carolina Specialty HospitalDurham, NC
Industry payments (Open Payments)
- 2025$279.08 · 2 payments from 1 company
- 2024$56.54 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $279.08 | 2 |
What the 2025 payments were for
- Food and Beverage$279.08 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Ophthalmology providers in Durham
- 1710125323
- 1598221848
- 1477743086
- 1316070725
- 1972504926
- 1619150141
- 1285916635
- 1366598807
- 1710564497
- 1851391239
- 1417074139
- 1831356716