Doctor profile · Federal record
Dr. Michael Simons, MD
Gastroenterology Physician (CMS: Gastroenterology) · Corbin, KY
- NPI 1265433015
- Accepts Medicare
- 39 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1710 Cumberland Falls Hwy
Corbin, KY 407012727
(606) 528-6700
fax (606) 528-6513
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- May 9, 2017
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Kentucky #25912
- Medicaid
- KY #64259120
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265433015. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
526
Distinct HCPCS
10
Medicare allowed
$65,723
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99441 |
Telephone medical discussion with physician, 5-10 minutes | 125 | 62 | $51 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 107 | 106 | $93 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 92 | 91 | $236 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 72 | 70 | $95 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 34 | 34 | $171 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 34 | 22 | $77 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | 15 | $141 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 16 | 16 | $125 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 14 | 14 | $215 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | 11 | $398 |
In context: peer comparison
Among 1 peers in Corbin Gastroenterology Physician, average services per provider: 52. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$1,279
Transactions
93
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ironwood Pharmaceuticals, INC | 24 | $354.36 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 25 | $287.91 | |
| Abbvie INC. | 16 | $207.41 | |
| Phathom Pharmaceuticals, INC. | 14 | $158.08 | |
| Ardelyx, INC. | 3 | $61.60 | |
| Janssen Scientific Affairs, LLC | 1 | $50.01 | |
| Janssen Biotech, INC. | 2 | $32.06 | |
| Takeda Pharmaceuticals U.S.A., INC. | 2 | $31.27 | |
| Pfizer INC. | 2 | $28.42 | |
| Genzyme Corporation | 1 | $18.11 | |
| Qol Medical, LLC | 1 | $17.64 | |
| Aimmune Therapeutics, INC. | 1 | $16.36 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $15.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,017
Patients
243
Total drug cost
$101,130
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 436 | 142 | $5,629 |
| Baclofen | Generic | 125 | 39 | $1,356 |
| Azathioprine | Generic | 77 | 12 | $5,890 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 53 | 11 | $13,422 |
| Omeprazole | Generic | 45 | 14 | $513 |
| Esomeprazole Magnesium | Generic | 36 | 14 | $1,678 |
| Famotidine | Generic | 32 | 11 | $473 |
| Mesalamine ER (Mesalamine) | Brand | 31 | 0 | $11,646 |
| Hydrocortisone | Generic | 29 | 0 | $769 |
| Motegrity (Prucalopride Succinate) | Brand | 29 | 0 | $18,123 |
Frequently asked questions
What is Dr. Michael Simons's medical specialty?
Dr. Michael Simons practices Gastroenterology Physician in Corbin, KY.
Where does Dr. Michael Simons practice?
Dr. Michael Simons practices at 1710 Cumberland Falls Hwy, Corbin, KY 407012727. Office phone: 6065286700.
What is Dr. Michael Simons's NPI?
Dr. Michael Simons's National Provider Identifier (NPI) is 1265433015, issued by NPPES.
Does Dr. Michael Simons accept Medicare assignment?
Yes. Dr. Michael Simons accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Simons commonly perform?
Top Medicare-reported procedures in 2023: Telephone medical discussion with physician (HCPCS 99441); Biopsy of large bowel using a flexible endoscope (HCPCS 45380); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385). Source: CMS Medicare Physician & Other Practitioners file.