Matthew John Simons, M.D.
NPI 1689816266ActiveIndividual· Orthopaedic Surgery· Fresno, CA
Orthopaedic Surgery (M.D.) in Fresno, California, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2009). 861 Medicare patients in 2024, $564,467 paid; nearly all of their 277 Part D prescriptions were generic (98%). Zimmer Biomet Holdings, Inc. was the largest of 5 companies reporting payments in 2025, $515.19 in all, mostly food and beverage.
Overview
| NPI | 1689816266 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 30, 2009 |
| Last updated in NPPES | May 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | A135495 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Orthopedic Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 861 |
|---|---|
| Services billed | 40,585 across 72 procedure codes |
| Paid by Medicare | $564,467 |
Part D prescriptions in 2024
| Prescriptions (claims) | 277 · 327 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $6,078 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Orthopedic Surgery |
| Telehealth | Offers telehealth |
Medical groups
- Community Foundation Medical GroupFresno, CA · 283 clinicians
- Sierra Pacific Orthopaedic Center Medical Group, Inc.Fresno, CA · 27 clinicians
Hospital affiliations
- Fresno Surgical HospitalFresno, CA
- Kaweah Health Medical CenterVisalia, CA
- Saint Agnes Medical CenterFresno, CA
Other facilities
- Compassionate Care Home Health Agency, LLCHome health agency · Fresno, CA
- Valley Home HealthHome health agency · Fresno, CA
- San Joaquin Valley Rehabilitation HospInpatient rehabilitation facility · Fresno, CA
Industry payments (Open Payments)
- 2025$515.19 · 10 payments from 5 companies
- 2024$1,191 · 5 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $321.26 | 5 |
| Orthalign Inc | $94.00 | 1 |
| Ethicon US, LLC | $37.48 | 1 |
| Smith+nephew, Inc. | $35.75 | 2 |
| Bioventus LLC | $26.70 | 1 |
What the 2025 payments were for
- Food and Beverage$515.19 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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