Caroline Josephine Simon, MD
NPI 1790903524ActiveIndividual· Surgery· Houston, TX
Surgery (MD) with Tmh Physician Associates PLLC and 1 other group, practicing in Houston, Texas. Mostly services rather than prescriptions: Medicare paid $69,130 for 54 patients in 2024, with only 47 Part D claims. Ethicon Inc. was the largest of 9 companies reporting payments in 2025, $896.21 in all, mostly food and beverage. Lists Houston Methodist Cypress Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1790903524 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 24, 2007 |
| Last updated in NPPES | Jan 20, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | T9248 | TX |
| Transplant Surgery | 204F00000X | 246669 | MA |
| Transplant Surgery | 204F00000X | T9248 | TX |
| Surgery | 208600000X | 246669 | MA |
| Surgery, Surgical Oncology | 2086X0206X | 246669 | MA |
| Surgery, Surgical Oncology | 2086X0206X | T9248 | TX |
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) | Enrolled Practitioner - General Surgery (MA); Practitioner - General Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 134 across 38 procedure codes |
| Paid by Medicare | $69,130 |
Part D prescriptions in 2024
| Prescriptions (claims) | 47 · 65 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $6,705 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | General Surgery |
Medical groups
- Tmh Physician Associates PLLCKaty, TX · 1,690 clinicians
- Houston Methodist Specialty PhysiciansHouston, TX · 1,528 clinicians
Hospital affiliations
- Houston Methodist Cypress HospitalCypress, TX
- Houston Methodist HospitalHouston, TX
- Houston Methodist West HospitalHouston, TX
Industry payments (Open Payments)
- 2025$896.21 · 20 payments from 9 companies
- 2024$5,518 · 35 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon Inc. | $338.98 | 1 |
| Dilon Technologies, Inc. | $167.97 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $95.47 | 4 |
| Madrigal Pharmaceuticals | $65.11 | 4 |
| Intercept Pharmaceuticals, Inc. | $60.07 | 3 |
What the 2025 payments were for
- Food and Beverage$557.23 · 19 payments
- Travel and Lodging$338.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 480 general surgeons in Houston · All general surgeons in Texas