James Simons, MD
NPI 1366064784ActiveIndividual· Family Medicine· Carbondale, PA
Family Medicine (MD) with Lehigh Valley Physician Group, practicing in Carbondale, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $30,272 for 269 claims, against $7,306 paid for services in 2024. Lists Geisinger-Community Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1366064784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 7, 2020 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD482613 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | PA |
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 - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 103 across 21 procedure codes |
| Paid by Medicare | $7,306 |
Part D prescriptions in 2024
| Prescriptions (claims) | 269 · 418 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $30,272 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
Hospital affiliations
- Geisinger-Community Medical CenterScranton, PA
- Lehigh Valley Hospital - Dickson CityDickson City, PA
- Wayne Memorial HospitalHonesdale, PA
Other facilities
- Interim Healthcare Services of Ne PA, Inc.Home health agency · Blakely, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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