Dr. Shiloh A. Simons, DO
- Medicare services, 2024
- 3,066
- Medicare patients, 2024
- 702
- Part D claims, 2024
- 1,347
- MIPS score, 2024
- 82
- Industry payments
- $9,100
- Practice address
- 12264 El Camino Real Suite 55, San Diego, CA 92130
- Practice phone
- Call (858) 847-0667
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Outpatient Surgery of Del Mar
Surgery Center - Medicare-Certified · San Diego, California
Find Dr. Simons' professional email, personal email and mobile number
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Dr. Shiloh A. Simons is an ophthalmologist in San Diego, California
Dr. Simons practices at Outpatient Surgery of Del Mar in San Diego, California.
Dr. Simons' NPI, 1447387279, was assigned on February 28, 2007. Dr. Simons graduated from WesternU College of Osteopathic Medicine of the Pacific in 1999. Dr. Simons holds California license 20A17687.
- NPI
- 1447387279NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1850360090
- NPI enumeration date
- February 28, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (858) 847-0667
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 53
- Medical school graduation
- 1999
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Shiloh A. Simons practices at Outpatient Surgery of Del Mar in San Diego, California
Dr. Simons' primary practice is Outpatient Surgery of Del Mar, at 12264 El Camino Real Suite 55, San Diego, CA 92130. The practice phone is (858) 847-0667.
- Outpatient Surgery of Del Mar12264 El Camino Real Suite 55, San Diego, CA 92130Phone(858) 847-0667
Source: Dmand AI Affiliation Data
Dr. Shiloh A. Simons is affiliated with 2 sites of care and 2 medical groups
Dr. Simons' primary practice is Outpatient Surgery of Del Mar in San Diego, California. The medical group on file is Aspirus Stevens Point Hospital. Dmand AI also links Dr. Simons to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Shiloh A. Simons' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simons practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Outpatient Surgery of Del Mar | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Shiloh A. Simons is one of 2,621 ophthalmologists in California
Ophthalmology is Dr. Simons' primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Simons is board certified in ophthalmology by the AOA Board of Ophthalmology and Otolaryngology. Dmand AI has Dr. Simons' licenses on file in 6 states: California, Wisconsin, Washington, Illinois, Indiana and New Mexico.
Specialties and state licenses
- Ophthalmology, CaliforniaPrimary
- Wisconsin license
- Washington license
- Illinois license
- Indiana license
- New Mexico license
Clinical focus
Dmand AI lists cataract, cataract surgery with lens implant, conjunctivitis, dry eye, eye infection or inflammation, eyelid inflammation, glaucoma and glaucoma surgery among the conditions Dr. Simons treats.
Ophthalmologists near Dr. Simons
Counts of ophthalmologists 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. Shiloh A. Simons billed Medicare for 3,066 services in 2024
CMS data shows 3,066 Medicare services from Dr. Simons across 14 procedure codes in 2024, for 702 Medicare patients. Medicare paid $233,496 for them.
Dr. Simons' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 1,9712024: 1,9811%
- Lab and pathology
- 2023: 7702024: 55428%
- Surgery
- 2023: 4712024: 4328%
- Office and hospital visits
- 2023: 02024: 99
Where Dr. Simons' Medicare services took place, 2024
- In an office2,93496%
- In a facility1324%
Dr. Simons compared with the California median for ophthalmologists, 2024
- Dr. Simons
- California median
- Medicare services
- 3,066vs 1,0792.8 times
- Medicare patients
- 702vs 42167% above
- Part D claims
- 1,242vs 6182.0 times
Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.
Dr. Simons' 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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Simons and other ophthalmologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Shiloh A. Simons treated 702 Medicare patients in 2024, average age 77
CMS counts 702 Medicare patients who saw Dr. Simons in 2024. The largest group is 75 to 84, with 285 patients. 75% of them have high cholesterol, and 72% have high blood pressure. 11% are also on Medicaid. Their average risk score is 1.11, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Simons' median patient age at 72, with 60% women.
Dr. Simons' Medicare patients by age, 2024
Dr. Simons' Medicare patients by sex, 2024
- Women43362%
- Men26938%
Chronic conditions among Dr. Simons' Medicare patients, 2024
- High cholesterol75%
- High blood pressure72%
- Arthritis45%
- Diabetes30%
- Chronic kidney disease24%
- Ischemic heart disease22%
- Osteoporosis22%
- Mood disorders19%
Share of Medicare patients with each condition. A patient can have several.
Dr. Simons' 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
- Women60%
- Men39%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Shiloh A. Simons wrote 1,347 Medicare Part D claims in 2024
In 2024, Dr. Simons wrote 1,347 Medicare Part D claims for 443 patients. 43% of them were for generic drugs. CMS names the drug for 1,242 of them, across 15 drugs with 11 or more claims each, at $237,372 in total drug cost. In 2023, CMS named 1,750 claims across 17 drugs.
Dr. Simons' Part D claims by kind of drug, 2024
- Generic573 claims43%
- Brand-name774 claims57%
Dr. Simons' 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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,7502024: 1,24229%
Drugs named by CMS: 15 in 2024, 17 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. Shiloh A. Simons scored 82 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Dr. Simons for performance year 2024, reported as part of a group. Dr. Simons accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 132 procedures of cataract surgery by Dr. Simons, more than 78% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Simons' MIPS scores, performance year 2024
- 82of 100Final score
- 81.8of 100Quality
- 74of 100Promoting Interoperability
- 40of 100Improvement Activities
- 79of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Simons ranks in Medicare procedure volume
- Cataract surgery
- 78th percentile132 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. Shiloh A. Simons received $9,100 in industry payments from 2016 to 2025
CMS Open Payments shows 193 general payments to Dr. Simons from 24 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 66% of the total. Alcon Laboratories Inc paid the most, $3,025.
General payments to Dr. Simons by program year, 2016 to 2025
General payments to Dr. Simons by kind, 2016 to 2025
- Food and beverage$5,99266%
- Travel and lodging$2,95933%
- Speaker and faculty fees$1502%
Companies that paid Dr. Simons 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. Shiloh A. Simons graduated from WesternU College of Osteopathic Medicine of the Pacific
Dr. Simons graduated from WesternU College of Osteopathic Medicine of the Pacific in 1999. Dr. Simons is a member of AAO and AOA.
- Medical school
- Board certified in ophthalmology
Source: Dmand AI Professional Profile Data
Dr. Shiloh A. Simons accepts plans from 17 insurance carriers
Dr. Simons is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. HMO plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Blue Cross Blue Shield of Massachusetts
- Elevance
- HCSC
- Humana
- Aspirus Health Plan
- +9 more carriersWith a free account
Plan types Dr. Simons accepts, by number of carriers
- HMO10
- PPO10
- Medicare8
- EPO4
- POS4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Shiloh A. Simons'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 | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy 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)Clinician Public Reporting: Overall MIPS Performance (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. Shiloh A. Simons
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. Shiloh A. Simons' NPI number?
Dr. Shiloh A. Simons' NPI number is 1447387279. It was assigned on February 28, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Shiloh A. Simons?
Dr. Shiloh A. Simons is an ophthalmologist in San Diego, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Shiloh A. Simons practice?
Dr. Simons practices at 12264 El Camino Real Suite 55, San Diego, CA 92130. Dr. Simons' primary practice is Outpatient Surgery of Del Mar in San Diego, California. Dmand AI also links Dr. Simons to 1 group practice or clinic and 1 medical group.
What is Dr. Shiloh A. Simons' office phone number?
The practice phone on file for Dr. Simons is (858) 847-0667.
What is Dr. Shiloh A. Simons' medical license number?
Dr. Simons holds California license 20A17687, one of the licenses on file in 6 states.
Which states has Dr. Shiloh A. Simons been licensed in?
Dmand AI has state licenses on file for Dr. Simons in California (2019 to 2027), Wisconsin (2004 to 2021), Washington (2019 to 2020), Illinois (2001 to 2005), Indiana (2000 to 2005) and New Mexico (2001 to 2002).
What medical group is Dr. Shiloh A. Simons part of?
Dr. Simons is linked to Aspirus Stevens Point Hospital. Dmand AI links Dr. Simons to 1 more medical group.
Does Dr. Shiloh A. Simons accept Medicare?
Yes. CMS data shows Dr. Simons billed Medicare for 3,066 services in 2024, and Dr. Simons accepts Medicare assignment.
What is Dr. Shiloh A. Simons' MIPS score?
Dr. Simons' MIPS final score for performance year 2024 is 82 out of 100, reported as part of a group.
How many Medicare patients does Dr. Shiloh A. Simons see?
CMS counts 702 Medicare patients who saw Dr. Simons in 2024, with an average age of 77.
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Is Dr. Shiloh A. Simons board certified?
Yes. Dr. Simons is board certified in ophthalmology by the AOA Board of Ophthalmology and Otolaryngology.
What services does Dr. Shiloh A. Simons bill to Medicare?
In 2024, Dr. Simons' most billed Medicare services were eye exam or test (92250), lab and pathology test (83861) and eye exam or test (92014).
Where did Dr. Shiloh A. Simons go to medical school?
Dr. Simons graduated from WesternU College of Osteopathic Medicine of the Pacific in 1999.
What drugs does Dr. Shiloh A. Simons prescribe most?
In 2024 Medicare Part D data, Dr. Simons' most prescribed drugs by claims were Prednisolone Acetate, Latanoprost and Dorzolamide-Timolol.
Has Dr. Shiloh A. Simons received payments from drug or device companies?
CMS Open Payments shows $9,100 in general payments to Dr. Simons from 24 companies from 2016 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Shiloh A. Simons been practicing?
Dr. Simons graduated from medical school in 1999, 27 years ago.
What insurance does Dr. Shiloh A. Simons accept?
Dr. Simons is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. HMO plans come from the most carriers, 10. Check the plan with the practice before a visit.
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