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Simon J. Fisher, MD

NPI 1952327173ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· Lexington, KY

Internal Medicine, Endocrinology, Diabetes & Metabolism (MD) in Lexington, Kentucky, trained at University of Toronto, Faculty of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $226,424 for 473 claims, against $9,112 paid for services in 2024. Vertex Pharmaceuticals Incorporated reported $13,650 in payments in 2025, mostly consulting fees.

Overview

NPI1952327173
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 14, 2006
Last updated in NPPESSep 29, 2026
Certified by providerOct 27, 2021

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Endocrinology (KY); Practitioner - Endocrinology (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients72
Services billed136 across 10 procedure codes
Paid by Medicare$9,112

Part D prescriptions in 2024

Prescriptions (claims)473 · 800 30-day fills
Patients80
Total drug cost$226,424
Generic share32% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Toronto, Faculty of Medicine
Graduation year1997
Medicare specialtyEndocrinology

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$13,650 · 5 payments from 1 company
  • 2024$1,925 · 4 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Vertex Pharmaceuticals Incorporated$13,6505

What the 2025 payments were for

  • Consulting Fee$13,650 · 5 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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