Dr. Luigi Simone, MD
- Medicare services, 2024
- 2,326
- Medicare patients, 2024
- 593
- Part D claims, 2024
- 5,411
- Hospital affiliations
- 2
- Industry payments
- $1,615
- Practice address
- 326 Santa Fe Dr, Encinitas, CA 92024
- Practice phone
- Call (858) 554-9100
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Scripps Clinic
Encinitas, California
Find Dr. Simone's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Luigi Simone is a family medicine physician in Encinitas, California
Dr. Simone practices at Scripps Clinic in Encinitas, California.
Dr. Simone's NPI, 1407951338, was assigned on September 14, 2006. Dr. Simone graduated from UC San Diego School of Medicine in 1991. Dr. Simone holds California license G75607.
- NPI
- 1407951338NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1355412586
- NPI enumeration date
- September 14, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (858) 554-9100
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 61
- Medical school graduation
- 1991
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Luigi Simone practices at Scripps Clinic in Encinitas, California
Dr. Simone's primary practice is Scripps Clinic, at 326 Santa Fe Dr, Encinitas, CA 92024 in San Diego County. The practice phone is (858) 554-9100.
- Scripps Clinic326 Santa Fe Dr, Encinitas, CA 92024 · San Diego CountyPhone(858) 554-9100
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Luigi Simone is affiliated with 7 sites of care and 1 medical group
Dr. Simone's primary practice is Scripps Clinic in Encinitas, California. Dr. Simone is also affiliated with Scripps Memorial Hospital Encinitas. The medical group on file is Scripps Clinic Medical Group. Dmand AI also links Dr. Simone to 1 more hospital, 2 home health agencies, 1 group practice or clinic and 1 skilled nursing facility, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Luigi Simone's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simone practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Scripps Clinic | Available with a free account |
| +6 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Luigi Simone is one of 15,680 family medicine physicians in California
Family medicine is Dr. Simone's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Simone is board certified in family medicine by the American Board of Family Medicine. Dr. Simone is licensed in California.
Specialties and state licenses
- Family medicine, CaliforniaPrimary
Clinical focus
Dmand AI lists acid reflux, acute sinusitis, acute skin infection, ADHD, aneurysm, ankle or foot injury, anxiety and aortic atherosclerois among the conditions Dr. Simone treats.
Family medicine physicians near Dr. Simone
Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Luigi Simone billed Medicare for 2,326 services in 2024
CMS data shows 2,326 Medicare services from Dr. Simone across 23 procedure codes in 2024, for 593 Medicare patients. Medicare paid $139,999 for them. Every service was in an office.
Dr. Simone's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Other services
- 2023: 3592024: 906152%
- Office and hospital visits
- 2023: 5612024: 75334%
- Tests and treatments
- 2023: 1992024: 30553%
- Drugs given in the office
- 2023: 1912024: 1863%
- Surgery
- 2023: 362024: 176389%
Dr. Simone compared with the California median for family medicine physicians, 2024
- Dr. Simone
- California median
- Medicare services
- 2,326vs 2469.5 times
- Medicare patients
- 593vs 1185.0 times
- Part D claims
- 4,776vs 8335.7 times
Medians across 15,349 family medicine physicians in California with Dmand AI profiles that report each measure.
Dr. Simone's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Simone?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Simone and other family medicine physicians in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Luigi Simone treated 593 Medicare patients in 2024, average age 76
CMS counts 593 Medicare patients who saw Dr. Simone in 2024. The largest group is 65 to 74, with 267 patients. 62% of them have high cholesterol, and 57% have high blood pressure. 4% are also on Medicaid. Their average risk score is 1.23, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Simone's median patient age at 59, with 40% women.
Dr. Simone's Medicare patients by age, 2024
Dr. Simone's Medicare patients by sex, 2024
- Women25142%
- Men34258%
Chronic conditions among Dr. Simone's Medicare patients, 2024
- High cholesterol62%
- High blood pressure57%
- Arthritis34%
- Ischemic heart disease26%
- Diabetes19%
- Atrial fibrillation18%
- Chronic kidney disease18%
- Mood disorders17%
Share of Medicare patients with each condition. A patient can have several.
Dr. Simone's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 59
Patient panel by sex, all payers
- Women40%
- Men58%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Luigi Simone wrote 5,411 Medicare Part D claims in 2024
In 2024, Dr. Simone wrote 5,411 Medicare Part D claims for 602 patients. 92% of them were for generic drugs. CMS names the drug for 4,776 of them, across 88 drugs with 11 or more claims each, at $214,310 in total drug cost. In 2023, CMS named 6,243 claims across 106 drugs.
Dr. Simone's Part D claims by kind of drug, 2024
- Generic4,968 claims92%
- Brand-name431 claims8%
- Other12 claims0%
Dr. Simone's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Simone's Part D claims, 2024
- Opioids1%57 of 5,411 claims
- Antibiotics1%80 of 5,411 claims
- Antipsychotics, patients 65 and over0%16 of 5,411 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 6,2432024: 4,77623%
Drugs named by CMS: 88 in 2024, 106 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Luigi Simone ranks in the 72nd percentile for removal of skin lesions in Medicare
Dr. Simone accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Simone as offering telehealth. CMS counts 52 procedures of removal of skin lesions by Dr. Simone, more than 72% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Where Dr. Simone ranks in Medicare procedure volume
- Removal of skin lesions
- 72nd percentile52 procedures
- Skin biopsy
- 63rd percentile19 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)
Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. Luigi Simone received $1,615 in industry payments from 2016 to 2025
CMS Open Payments shows 26 general payments to Dr. Simone from 14 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. GlaxoSmithKline, LLC. paid the most, $384.
General payments to Dr. Simone by program year, 2016 to 2025
Companies that paid Dr. Simone the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Luigi Simone graduated from UC San Diego School of Medicine
Dr. Simone graduated from UC San Diego School of Medicine in 1991.
- Medical school
- Board certified in family medicine
Source: Dmand AI Professional Profile Data
Dr. Luigi Simone accepts plans from 5 insurance carriers
Dr. Simone is in network with 5 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Blue Cross and Blue Shield of Kansas City
- CMS Medicare
Plan types Dr. Simone accepts, by number of carriers
- HMO3
- Medicare3
- POS3
- PPO3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Luigi Simone's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Luigi Simone
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Luigi Simone's NPI number?
Dr. Luigi Simone's NPI number is 1407951338. It was assigned on September 14, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Luigi Simone?
Dr. Luigi Simone is a family medicine physician in Encinitas, California. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).
Where does Dr. Luigi Simone practice?
Dr. Simone practices at 326 Santa Fe Dr, Encinitas, CA 92024. Dr. Simone's primary practice is Scripps Clinic in Encinitas, California. Dmand AI also links Dr. Simone to 1 hospital, 2 home health agencies, 1 group practice or clinic and 1 skilled nursing facility.
What is Dr. Luigi Simone's office phone number?
The practice phone on file for Dr. Simone is (858) 554-9100.
What is Dr. Luigi Simone's medical license number?
Dr. Simone holds California license G75607.
Which hospitals is Dr. Luigi Simone affiliated with?
Dr. Simone is affiliated with Scripps Memorial Hospital Encinitas. Dmand AI links Dr. Simone to 1 more hospital.
What medical group is Dr. Luigi Simone part of?
Dr. Simone is linked to Scripps Clinic Medical Group.
Does Dr. Luigi Simone accept Medicare?
Yes. CMS data shows Dr. Simone billed Medicare for 2,326 services in 2024, and Dr. Simone accepts Medicare assignment.
Does Dr. Luigi Simone offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Simone as offering telehealth services.
How many Medicare patients does Dr. Luigi Simone see?
CMS counts 593 Medicare patients who saw Dr. Simone in 2024, with an average age of 76.
Show 7 more questionsShow fewer questions
Is Dr. Luigi Simone board certified?
Yes. Dr. Simone is board certified in family medicine by the American Board of Family Medicine.
What services does Dr. Luigi Simone bill to Medicare?
In 2024, Dr. Simone's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and office visit, established patient (99213).
Where did Dr. Luigi Simone go to medical school?
Dr. Simone graduated from UC San Diego School of Medicine in 1991.
What drugs does Dr. Luigi Simone prescribe most?
In 2024 Medicare Part D data, Dr. Simone's most prescribed drugs by claims were Atorvastatin Calcium, Rosuvastatin Calcium and Losartan Potassium.
Has Dr. Luigi Simone received payments from drug or device companies?
CMS Open Payments shows $1,615 in general payments to Dr. Simone from 14 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.
How long has Dr. Luigi Simone been practicing?
Dr. Simone graduated from medical school in 1991, 35 years ago.
What insurance does Dr. Luigi Simone accept?
Dr. Simone is in network with 5 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.
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