Michael Evan Simons, MD
NPI 1265433015ActiveIndividual· Internal Medicine, Gastroenterology· Corbin, KY
Internal Medicine, Gastroenterology (MD) in Corbin, Kentucky, trained at University of Louisville School of Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $832,664 for 1,665 claims, against $75,612 paid for services in 2024. Abbvie Inc. was the largest of 12 companies reporting payments in 2025, $1,184 in all, mostly food and beverage.
Overview
| NPI | 1265433015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 2, 2005 |
| Last updated in NPPES | May 9, 2017 |
| Reactivated | Mar 27, 2006 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 25912 | KY |
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 - Gastroenterology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 319 |
|---|---|
| Services billed | 582 across 18 procedure codes |
| Paid by Medicare | $75,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,665 · 2,418 30-day fills |
|---|---|
| Patients | 318 |
| Total drug cost | $832,664 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Gastroenterology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Cumberland Gi, PSCCorbin, KY · 2 clinicians
Hospital affiliation
- Baptist Health CorbinCorbin, KY
Industry payments (Open Payments)
- 2025$1,184 · 71 payments from 12 companies
- 2024$1,279 · 93 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $281.06 | 20 |
| Phathom Pharmaceuticals, Inc. | $208.58 | 16 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $161.78 | 12 |
| Intuitive Surgical, Inc. | $124.74 | 1 |
| Pfizer Inc. | $85.82 | 5 |
What the 2025 payments were for
- Food and Beverage$1,184 · 71 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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