Dr. David Philip Simon, MD

  • Petaluma, CA
  • Ophthalmologist
NPI1114913829PAC ID0749244242
Medicare services, 2024
2,365
Medicare patients, 2024
312
Part D claims, 2024
468
MIPS score, 2024
75
Hospital affiliations
1
Practice address
2100 S McDowell Blvd, Petaluma, CA 94954
Practice phone
Call (707) 256-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Simon Eyes, Inc.

Petaluma, California

See all 4 affiliations

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Dr. David Philip Simon is an ophthalmologist in Petaluma, California

Dr. Simon practices at Simon Eyes, Inc. in Petaluma, California.

Dr. Simon's NPI, 1114913829, was assigned on September 27, 2005. Dr. Simon graduated from University of Miami, Miller School of Medicine in 1996. Dr. Simon holds Florida license ME86211.

NPI and contact details
Medicare PAC ID
0749244242
NPI enumeration date
September 27, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(707) 256-5000
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
56
Medical school graduation
1996

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. David Philip Simon practices at Simon Eyes, Inc. in Petaluma, California

Dr. Simon's primary practice is Simon Eyes, Inc., at 2100 S McDowell Blvd, Petaluma, CA 94954 in Sonoma County. The practice phone is (707) 256-5000.

  • Simon Eyes, Inc.
    2100 S McDowell Blvd, Petaluma, CA 94954 · Sonoma CountyPhone(707) 256-5000

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. David Philip Simon is affiliated with 3 sites of care and 1 medical group

Dr. Simon's primary practice is Simon Eyes, Inc. in Petaluma, California. Dr. Simon is also affiliated with Providence Queen of the Valley Medical Center. The medical group on file is The Permanente Medical Group, Inc. Dmand AI also links Dr. Simon to 1 more physician office, named with a free account.

See all 4 affiliations for Dr. Simon

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. David Philip Simon's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simon practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Simon Eyes, Inc.Available with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. David Philip Simon is one of 2,621 ophthalmologists in California

Ophthalmology is Dr. Simon's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Simon is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Simon's licenses on file in 7 states: Florida, California, Nevada, Arizona, Tennessee, Arkansas and Maryland.

Specialties and state licenses

  • Ophthalmology, FloridaPrimaryLicense ME86211 · 2002 to 2027 · taxonomy 207W00000X
  • California licenseLicense A69742 · 1999 to 2027
  • Nevada license2021 to 2027
  • Arizona license2021 to 2026
  • Tennessee license2001 to 2004
  • Arkansas license2001 to 2002
  • Maryland license1998 to 1999

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, cold sores or genital herpes, dry eye, eyelid inflammation, glaucoma and secondary membranaous cataract surgery among the conditions Dr. Simon treats.

Ophthalmologists near Dr. Simon

Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.

2,621ophthalmologists in California
2ophthalmologists in Petaluma

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. David Philip Simon billed Medicare for 2,365 services in 2024

CMS data shows 2,365 Medicare services from Dr. Simon across 13 procedure codes in 2024, for 312 Medicare patients. Medicare paid $207,067 for them.

Medicare services, 20242,365
Medicare patients312
Paid by Medicare$207,067
Procedure codes13

Dr. Simon's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 1,4852024: 1,72716%
Surgery
2023: 3082024: 59493%
Imaging
2023: 632024: 4430%

Where Dr. Simon's Medicare services took place, 2024

  • In an office2,29397%
  • In a facility723%

Dr. Simon compared with the California median for ophthalmologists, 2024

  • Dr. Simon
  • California median
Medicare services
2,365vs 1,0792.2 times
Medicare patients
312vs 42126% below
Part D claims
411vs 61833% below

Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.

Dr. Simon'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.

See all procedures by Dr. Simon

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. David Philip Simon treated 312 Medicare patients in 2024, average age 75

CMS counts 312 Medicare patients who saw Dr. Simon in 2024. The largest group is 65 to 74, with 161 patients. 75% of them have high cholesterol, and 72% have high blood pressure. Their average risk score is 0.88, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Simon's median patient age at 72, with 54% women.

Medicare patients, 2024312
Average age75
Average risk score0.88

Dr. Simon's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Simon's Medicare patients by sex, 2024

  • Women17355%
  • Men13945%

Chronic conditions among Dr. Simon's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure72%
  3. Arthritis45%
  4. Ischemic heart disease23%
  5. Atrial fibrillation21%
  6. Diabetes20%
  7. Osteoporosis18%
  8. Mood disorders17%

Share of Medicare patients with each condition. A patient can have several.

Dr. Simon's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women54%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. David Philip Simon wrote 468 Medicare Part D claims in 2024

In 2024, Dr. Simon wrote 468 Medicare Part D claims for 134 patients. 58% of them were for generic drugs. CMS names the drug for 411 of them, across 9 drugs with 11 or more claims each, at $9,034 in total drug cost. In 2023, CMS named 249 claims across 6 drugs.

Part D claims, 2024468
Drugs named by CMS9
Total drug cost$9,034
Part D patients134

Dr. Simon's Part D claims by kind of drug, 2024

  • Generic272 claims58%
  • Brand-name196 claims42%

Dr. Simon'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. Simon's Part D claims, 2024

  • Antibiotics7%32 of 468 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: 2492024: 41165%

Drugs named by CMS: 9 in 2024, 6 in 2023.

See all prescribing by Dr. Simon

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. David Philip Simon scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Simon for performance year 2024, reported individually. Dr. Simon accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 280 procedures of cataract surgery by Dr. Simon, more than 88% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
MIPS final score, 2024
75 of 100

Where Dr. Simon ranks in Medicare procedure volume

Cataract surgery
88th percentile280 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. David Philip Simon received $2,634 in industry payments from 2017 to 2025

CMS Open Payments shows 57 general payments to Dr. Simon from 21 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 98% of the total. Alcon Laboratories Inc paid the most, $954.

General payments to Dr. Simon by program year, 2017 to 2025

General payments to Dr. Simon by kind, 2017 to 2025

$2.6Kin total
  • Food and beverage$2,56898%
  • Entertainment$652%

Companies that paid Dr. Simon the most, 2017 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Simon

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. David Philip Simon graduated from University of Miami, Miller School of Medicine

Dr. Simon graduated from University of Miami, Miller School of Medicine in 1996.

  1. Medical schoolUniversity of Miami, Miller School of Medicine
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. David Philip Simon accepts plans from 15 insurance carriers

Dr. Simon is in network with 15 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Simon accepts, by number of carriers

  1. PPO9
  2. HMO7
  3. Medicare7
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. David Philip Simon's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. David Philip Simon

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. David Philip Simon's NPI number?

Dr. David Philip Simon's NPI number is 1114913829. It was assigned on September 27, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. David Philip Simon?

Dr. David Philip Simon is an ophthalmologist in Petaluma, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. David Philip Simon practice?

Dr. Simon practices at 2100 S McDowell Blvd, Petaluma, CA 94954. Dr. Simon's primary practice is Simon Eyes, Inc. in Petaluma, California. Dmand AI also links Dr. Simon to 1 physician office.

What is Dr. David Philip Simon's office phone number?

The practice phone on file for Dr. Simon is (707) 256-5000.

What is Dr. David Philip Simon's medical license number?

Dr. Simon holds Florida license ME86211, one of the licenses on file in 7 states.

Which states has Dr. David Philip Simon been licensed in?

Dmand AI has state licenses on file for Dr. Simon in Florida (2002 to 2027), California (1999 to 2027), Nevada (2021 to 2027), Arizona (2021 to 2026), Tennessee (2001 to 2004), Arkansas (2001 to 2002) and Maryland (1998 to 1999).

Which hospitals is Dr. David Philip Simon affiliated with?

Dr. Simon is affiliated with Providence Queen of the Valley Medical Center.

What medical group is Dr. David Philip Simon part of?

Dr. Simon is linked to The Permanente Medical Group, Inc.

Does Dr. David Philip Simon accept Medicare?

Yes. CMS data shows Dr. Simon billed Medicare for 2,365 services in 2024, and Dr. Simon accepts Medicare assignment.

What is Dr. David Philip Simon's MIPS score?

Dr. Simon's MIPS final score for performance year 2024 is 75 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. David Philip Simon see?

CMS counts 312 Medicare patients who saw Dr. Simon in 2024, with an average age of 75.

Is Dr. David Philip Simon board certified?

Yes. Dr. Simon is board certified in ophthalmology by the American Board of Ophthalmology.

What services does Dr. David Philip Simon bill to Medicare?

In 2024, Dr. Simon's most billed Medicare services were eye exam or test (92014), surgery: eye (68761) and eye exam or test (92134).

Where did Dr. David Philip Simon go to medical school?

Dr. Simon graduated from University of Miami, Miller School of Medicine in 1996.

What drugs does Dr. David Philip Simon prescribe most?

In 2024 Medicare Part D data, Dr. Simon's most prescribed drugs by claims were Latanoprost, Prednisolone Acetate and Timolol Maleate.

Has Dr. David Philip Simon received payments from drug or device companies?

CMS Open Payments shows $2,634 in general payments to Dr. Simon from 21 companies from 2017 to 2025. The largest total came from Alcon Laboratories Inc.

How long has Dr. David Philip Simon been practicing?

Dr. Simon graduated from medical school in 1996, 30 years ago.

What insurance does Dr. David Philip Simon accept?

Dr. Simon is in network with 15 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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