James Alan Simon, M.D.
Opted out of Medicare from April 2022 to April 2028. Obstetrics & Gynecology, Gynecology (M.D.) in Washington, District of Columbia, licensed in DC, with an NPI issued in December 2006. Part D covered 769 prescriptions written in 2024, 73% of them generic. Mayne Pharma Commercial LLC was the largest of 11 companies reporting payments in 2025, $117,349 in all, mostly speaking and faculty fees. Lists Sibley Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1700947256 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Jul 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Gynecology Primary | 207VG0400X | 11875 | DC |
| Obstetrics & Gynecology, Reproductive Endocrinology | 207VE0102X | 11875 | DC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2022 – Apr 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 769 · 1,856 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $136,223 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Obstetrics/Gynecology |
Hospital affiliation
- Sibley Memorial HospitalWashington, DC
Industry payments (Open Payments)
- 2025$117,349 · 108 payments from 11 companies
- 2024$158,228 · 125 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mayne Pharma Commercial LLC | $93,991 | 70 |
| Bayer Healthcare Pharmaceuticals Inc. | $16,176 | 24 |
| Abbvie Inc. | $5,800 | 1 |
| Dexcom, Inc. | $691.39 | 2 |
| Cosette Pharmaceuticals Inc. | $176.71 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$79,661 · 18 payments
- Consulting Fee$16,228 · 3 payments
- Travel and Lodging$14,244 · 39 payments
- Food and Beverage$5,343 · 44 payments
- Honoraria$1,200 · 2 payments
- Compensation for serving as faculty or as a speaker for a medical education program$641.00 · 1 payment
- Education$32.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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