Doctor profile · Federal record
Dr. Michael Simon, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Pulmonary Disease Physician · Fall River, MA
- NPI 1366896912
- Accepts Medicare
- 10 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1030 President Ave Ste 210
Fall River, MA 027205928
(508) 973-1780
fax (508) 973-7338 - Additional location
-
593 Eddy St
Providence, RI 029034923
(401) 444-8410
fax (401) 444-5914 - Mailing address
-
593 Eddy St
Providence, RI 029034923
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- January 22, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- Massachusetts #291140 · Rhode Island #LP04894
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366896912. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
117
Distinct HCPCS
5
Medicare allowed
$19,729
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99205 |
New patient office or other outpatient visit, 60-74 minutes | 33 | 33 | $224 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 33 | 30 | $130 | |
99291 |
Critical care, first 30-74 minutes | 19 | 12 | $214 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | 15 | $80 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $175 |
In context: peer comparison
Among 3 peers in Fall River Pulmonary Disease Physician, average services per provider: 85. This provider delivers 1.4× the peer median.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $27.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
140
Patients
20
Total drug cost
$22,056
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 23 | 20 | $729 |
| Prednisone | Generic | 19 | 0 | $100 |
| Montelukast Sodium | Generic | 18 | 0 | $359 |
| Azithromycin | Generic | 17 | 0 | $301 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 15 | 0 | $920 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 13 | 0 | $9,355 |
| Omeprazole | Generic | 12 | 0 | $226 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 12 | 0 | $9,868 |
| Fluticasone Propionate | Generic | 11 | 0 | $198 |
Frequently asked questions
What is Dr. Michael Simon's medical specialty?
Dr. Michael Simon practices Pulmonary Disease Physician in Fall River, MA.
Where does Dr. Michael Simon practice?
Dr. Michael Simon practices at 1030 President Ave Ste 210, Fall River, MA 027205928. Office phone: 5089731780.
What is Dr. Michael Simon's NPI?
Dr. Michael Simon's National Provider Identifier (NPI) is 1366896912, issued by NPPES.
Does Dr. Michael Simon accept Medicare assignment?
Yes. Dr. Michael Simon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Simon commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99205); Established patient office or other outpatient visit (HCPCS 99214); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.