Mark Simon, MD
NPI 1538110572ActiveIndividual· Ophthalmology· Winchester, KY
Ophthalmology (MD) in Winchester, Kentucky, trained at University of Kentucky College of Medicine (class of 1989). In 2024 Medicare paid $35,344 for 67 patients, and Part D covered 608 of their prescriptions, 49% of them generic.
Overview
| NPI | 1538110572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 29402 | KY |
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 - Ophthalmology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 235 across 12 procedure codes |
| Paid by Medicare | $35,344 |
Part D prescriptions in 2024
| Prescriptions (claims) | 608 · 611 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $11,248 |
| Generic share | 49% of claims |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Ophthalmology |
Hospital affiliation
- Clark Regional Medical CenterWinchester, KY
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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