Luigi Simone, M.D.
NPI 1407951338ActiveIndividual· Family Medicine· Encinitas, CA
Family Medicine (M.D.) in Encinitas, California, trained at University of California, San Diego School of Medicine (class of 1991). 593 Medicare patients in 2024, $396,780 paid; nearly all of their 5,411 Part D prescriptions were generic (92%). Alnylam Pharmaceuticals Inc. was the largest of 2 companies reporting payments in 2025, $250.51 in all, mostly food and beverage.
Overview
| NPI | 1407951338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Sep 30, 2021 |
| Certified by provider | Sep 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | G75607 | CA |
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 - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 593 |
|---|---|
| Services billed | 15,837 across 100 procedure codes |
| Paid by Medicare | $396,780 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,411 · 13,527 30-day fills |
|---|---|
| Patients | 602 |
| Total drug cost | $363,495 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of California, San Diego School of Medicine |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Scripps HealthLa Jolla, CA · 1,433 clinicians
Hospital affiliations
- Scripps Green HospitalLa Jolla, CA
- Scripps Memorial Hospital - EncinitasEncinitas, CA
- Scripps Memorial Hospital la JollaLa Jolla, CA
Other facilities
- Advantage Health SystemsHome health agency · San Diego, CA
- Seaport Scripps Home HealthHome health agency · San Diego, CA
- GlenbrookNursing home · Carlsbad, CA
Industry payments (Open Payments)
- 2025$250.51 · 2 payments from 2 companies
- 2024$247.08 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alnylam Pharmaceuticals Inc. | $146.21 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $104.30 | 1 |
What the 2025 payments were for
- Food and Beverage$250.51 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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