Doctor profile · Federal record

Dr. Mark Simon, MD

Ophthalmology Physician (CMS: Ophthalmology) · Winchester, KY

  • NPI 1538110572
  • Accepts Medicare
  • 37 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
225 Hospital Dr Ste 160
Winchester, KY 403917635
(859) 744-3937
fax (859) 744-3941

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
July 11, 2022
Year of graduation
1989 — 37 yrs since
Specialty taxonomy
207W00000X — NUCC code
State license (1)
Kentucky #29402
Medicaid
KY #64294028

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1538110572. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
297
Distinct HCPCS
6
Medicare allowed
$57,487
HCPCS Description Services Patients Avg allowed
92136 Measurement of corneal curvature and depth of eye 93 61 $36
66984 Removal of cataract with insertion of prosthetic lens 85 51 $416
92004 New patient complete exam of visual system 54 54 $134
66821 Removal of recurring cataract in lens capsule using a laser 26 17 $303
92012 Established patient problem focused exam of visual system 22 21 $82
92014 Established patient complete exam of visual system 17 17 $116

In context: peer comparison

Among 1 peers in this city , average services per provider: 49. This provider delivers 6.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
622
Patients
389
Total drug cost
$16,544
Drug Type Claims Patients Total cost
Prednisolone Acetate Generic 330 198 $11,963
Ofloxacin Generic 292 191 $4,582

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Simon's medical specialty?
Dr. Mark Simon practices Ophthalmology Physician in Winchester, KY.
Where does Dr. Mark Simon practice?
Dr. Mark Simon practices at 225 Hospital Dr Ste 160, Winchester, KY 403917635. Office phone: 8597443937.
What is Dr. Mark Simon's NPI?
Dr. Mark Simon's National Provider Identifier (NPI) is 1538110572, issued by NPPES.
Does Dr. Mark Simon accept Medicare assignment?
Yes. Dr. Mark Simon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Simon commonly perform?
Top Medicare-reported procedures in 2023: Measurement of corneal curvature and depth of eye (HCPCS 92136); Removal of cataract with insertion of prosthetic lens (HCPCS 66984); New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.