Dr. Matthew John Simons, MD

Dr. Simons practices at Summit Surgical - Fresno in Fresno, California.

Dr. Simons' NPI, 1689816266, was assigned on March 30, 2009. Dr. Simons graduated from University of Illinois College of Medicine - Chicago in 2009. Dr. Simons holds California license A135495.

Dr. Simons' primary practice is Summit Surgical - Fresno, at 1630 Herndon Avenue, Suite 100, Fresno, CA 93720. The practice phone is (559) 449-2888.

Dr. Simons' primary practice is Summit Surgical - Fresno in Fresno, California. Dr. Simons is also affiliated with Saint Agnes Medical Center. The medical group on file is Santé Foundation Medical Group. Dmand AI also links Dr. Simons to 3 more hospitals, 2 home health agencies, 1 group practice or clinic and 1 medical group, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simons practices, 8 sites in all. Vendor and product names are available with a free account.

Orthopaedic surgery is Dr. Simons' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Simons is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Simons' licenses on file in 3 states: California, New York and Illinois.

Dmand AI lists arthritis, bursitis, fluid in a joint, hip replacement, joint pain, knee arthroscopy, knee injury and knee replacement among the conditions Dr. Simons treats.

CMS data shows 39,874 Medicare services from Dr. Simons across 30 procedure codes in 2024, for 861 Medicare patients. Medicare paid $536,361 for them.

CMS counts 861 Medicare patients who saw Dr. Simons in 2024. The largest group is 65 to 74, with 443 patients. 75% of them have arthritis, and 75% have high blood pressure. 1% are also on Medicaid. Their average risk score is 0.86, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Simons' median patient age at 72, with 57% women.

In 2024, Dr. Simons wrote 277 Medicare Part D claims for 121 patients. 98% of them were for generic drugs. CMS names the drug for 224 of them, across 4 drugs with 11 or more claims each, at $3,501 in total drug cost. In 2023, CMS named 341 claims across 6 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 90 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 lists Dr. Simons as offering telehealth. CMS counts 175 procedures of knee replacement by Dr. Simons, more than 98% of the clinicians it reports for that procedure.

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 3 papers to Dr. Simons. Dr. Simons' most frequent co-authors are Nirav Hasmukh Amin, MD, Giles R. Scuderi, MD and Gavin L. Mills, MD.

Dmand AI links Dr. Simons to 1 clinical trial. 1 is still active or recruiting. Conditions studied include Osteoarthritis, Knee and Osteoarthritis.

CMS Open Payments shows 178 general payments to Dr. Simons from 25 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 69% of the total. Lima USA, Inc. paid the most, $47,353.

Dr. Simons graduated from University of Illinois College of Medicine - Chicago in 2009.

Dr. Simons is in network with 11 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.