Jonathan Simon, M.D.
NPI 1245648138ActiveIndividual· Internal Medicine· Dover, DE
Internal Medicine (M.D.) with Bayhealth Medical Center, Inc, practicing in Dover, Delaware. Their prescriptions cost Medicare Part D more than their services did: $941,612 for 6,974 claims, against $142,420 paid for services in 2024. Merck Sharp & Dohme LLC reported $23.63 in payments in 2024, mostly food and beverage. Lists Bayhealth Hospital, Sussex Campus and 1 other hospital as hospital affiliations.
Overview
| NPI | 1245648138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 24, 2014 |
| Last updated in NPPES | Oct 17, 2024 |
| Certified by provider | Oct 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | C1-0012286 | DE |
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 (DE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 416 |
|---|---|
| Services billed | 2,418 across 37 procedure codes |
| Paid by Medicare | $142,420 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,974 · 15,554 30-day fills |
|---|---|
| Patients | 580 |
| Total drug cost | $941,612 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Bayhealth Medical Center, IncDover, DE · 413 clinicians
Hospital affiliations
- Bayhealth Hospital, Sussex CampusMilford, DE
- Bayhealth Medical Center, Kent CampusDover, DE
Other facilities
- Bayada Home Health Care at BayhealthHome health agency · Dover, DE
- Christianacare HomehealthHome health agency · Camden, DE
Industry payments (Open Payments)
- 2024$23.63 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $23.63 | 1 |
What the 2024 payments were for
- Food and Beverage$23.63 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 59 internal medicine physicians in Dover · All internal medicine physicians in Delaware