Stuart J. Simon, M.D.
NPI 1225036122ActiveIndividual· Internal Medicine, Pulmonary Disease· Austell, GA
Internal Medicine, Pulmonary Disease (M.D.) in Austell, Georgia, trained at Medical College of Georgia School of Medicine (class of 1983). Their prescriptions cost Medicare Part D more than their services did: $1,134,391 for 2,657 claims, against $111,489 paid for services in 2024. Insmed, Inc. was the largest of 12 companies reporting payments in 2025, $663.88 in all, mostly food and beverage.
Overview
| NPI | 1225036122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 13, 2005 |
| Last updated in NPPES | Nov 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 032053 | GA |
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 - Critical Care (Intensivists) (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 419 |
|---|---|
| Services billed | 2,025 across 41 procedure codes |
| Paid by Medicare | $111,489 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,657 · 3,483 30-day fills |
|---|---|
| Patients | 459 |
| Total drug cost | $1,134,391 |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Critical Care (Intensivists) |
| Secondary specialties | Pulmonary Disease |
Medical group
- Piedmont Providers LLCAtlanta, GA · 530 clinicians
Hospital affiliations
- Piedmont Cartersville Medical CenterCartersville, GA
- Piedmont Hospital, IncAtlanta, GA
- Piedmont Mountainside Hospital IncJasper, GA
- Wellstar Kennestone Regional Medical CenterMarietta, GA
Industry payments (Open Payments)
- 2025$663.88 · 30 payments from 12 companies
- 2024$396.65 · 15 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insmed, Inc. | $154.41 | 7 |
| Verona Pharma, Inc. | $109.29 | 4 |
| Grifols USA, LLC | $87.07 | 4 |
| Amgen Inc. | $74.64 | 4 |
| Baxter Healthcare | $69.81 | 3 |
What the 2025 payments were for
- Food and Beverage$663.88 · 30 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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