Doctor profile · Federal record
Dr. Robert Simon, MD
Internal Medicine Physician (CMS: Internal Medicine) · Toms River, NJ
- NPI 1538242037
- Accepts Medicare
- MIPS 77.2 / 100 · 2023
- 40 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
20 Hospital Dr, Suite 8
Toms River, NJ 087556434
(732) 281-0530
fax (732) 281-0534
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New Jersey #25MA05304800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538242037. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,180
Distinct HCPCS
9
Medicare allowed
$123,444
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 574 | 376 | $98 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 354 | 302 | $138 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $140 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 46 | 46 | $16 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $180 | |
93005 |
Routine electrocardiogram (ecg) using at least 12 leads with tracing | 36 | 35 | $7 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 36 | 35 | $9 | |
G0008 |
Administration of influenza virus vaccine | 16 | 16 | $33 | |
90688 |
Influenza vaccine, quadrivalent, 0.5 ml dosage | 13 | 13 | $20 |
In context: peer comparison
Among 32 peers in this city , average services per provider: 171. This provider delivers 6.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,414
Patients
763
Total drug cost
$34,950
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 387 | 121 | $5,780 |
| Lisinopril | Generic | 248 | 69 | $2,949 |
| Levothyroxine Sodium | Generic | 247 | 71 | $4,579 |
| Alprazolam | Generic | 238 | 61 | $945 |
| Amlodipine Besylate | Generic | 179 | 56 | $1,935 |
| Metformin Hcl | Generic | 176 | 57 | $2,274 |
| Metoprolol Succinate | Generic | 152 | 47 | $3,855 |
| Losartan Potassium | Generic | 150 | 40 | $2,728 |
| Rosuvastatin Calcium | Generic | 138 | 50 | $3,134 |
| Hydrochlorothiazide | Generic | 134 | 42 | $756 |
Hospital affiliations
Frequently asked questions
What is Dr. Robert Simon's medical specialty?
Dr. Robert Simon practices Internal Medicine Physician in Toms River, NJ.
Where does Dr. Robert Simon practice?
Dr. Robert Simon practices at 20 Hospital Dr, Toms River, NJ 087556434. Office phone: 7322810530.
What is Dr. Robert Simon's NPI?
Dr. Robert Simon's National Provider Identifier (NPI) is 1538242037, issued by NPPES.
Does Dr. Robert Simon accept Medicare assignment?
Yes. Dr. Robert Simon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Simon commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.