Dr. Simon Joseph Madorsky, MD

  • Newport Beach, CA
  • Otolaryngologist
NPI1447259981PAC ID7618861477
Medicare services, 2024
964
Medicare patients, 2024
300
Part D claims, 2024
138
Publications
9
MIPS score, 2024
75
Practice address
180 Newport Center Dr, Newport Beach, CA 92660
Practice phone
Call (949) 200-1600
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Skin Cancer and Reconstructive Surgery Center, LLC

Newport Beach, California

See all 8 affiliations

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Dr. Simon Joseph Madorsky is an otolaryngologist in Newport Beach, California

Dr. Madorsky practices at Skin Cancer and Reconstructive Surgery Center, LLC in Newport Beach, California.

Dr. Madorsky's NPI, 1447259981, was assigned on July 18, 2005. Dr. Madorsky graduated from Baylor College Of Medicine in 1990. Dr. Madorsky's California license number on file is A50075.

NPI and contact details
Medicare PAC ID
7618861477
NPI enumeration date
July 18, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(949) 200-1600
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
62
Medical school graduation
1990

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

Dr. Simon Joseph Madorsky practices at Skin Cancer and Reconstructive Surgery Center, LLC in Newport Beach, California

Dr. Madorsky's primary practice is Skin Cancer and Reconstructive Surgery Center, LLC, at 180 Newport Center Dr, Newport Beach, CA 92660 in Orange County. The practice phone is (949) 200-1600.

  • Skin Cancer and Reconstructive Surgery Center, LLC
    180 Newport Center Dr, Newport Beach, CA 92660 · Orange CountyPhone(949) 200-1600

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

Dr. Simon Joseph Madorsky is affiliated with 5 sites of care and 3 medical groups

Dr. Madorsky's primary practice is Skin Cancer and Reconstructive Surgery Center, LLC in Newport Beach, California. Dr. Madorsky is also affiliated with Hoag Hospital Newport Beach. The medical group on file is Skin Cancer and Reconstructive Surgery (SCARS) Center. Dmand AI also links Dr. Madorsky to 3 more group practices and clinics and 2 medical groups, each named with a free account.

See all 8 affiliations for Dr. Madorsky

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

Dmand AI tracks the EHR system at Dr. Simon Joseph Madorsky's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Madorsky practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Skin Cancer and Reconstructive Surgery Center, LLCAvailable with a free account
+4 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Simon Joseph Madorsky is one of 1,107 otolaryngologists in California

Otolaryngology is Dr. Madorsky's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Madorsky is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dmand AI has Dr. Madorsky's licenses on file in 3 states: California, Oregon and Arizona.

Specialties and state licenses

  • Otolaryngology, CaliforniaPrimaryLicense A50075 · 1991 to 2025 · taxonomy 207Y00000X
  • Oregon licenseSince 1996
  • Arizona license2021 to 2027

Otolaryngologists near Dr. Madorsky

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

1,107otolaryngologists in California
6otolaryngologists in Newport Beach

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

Dr. Simon Joseph Madorsky billed Medicare for 964 services in 2024

CMS data shows 964 Medicare services from Dr. Madorsky across 19 procedure codes in 2024, for 300 Medicare patients. Medicare paid $267,416 for them.

Medicare services, 2024964
Medicare patients300
Paid by Medicare$267,416
Procedure codes19

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

  • 2023
  • 2024
Surgery
2023: 6502024: 58011%
Office and hospital visits
2023: 3622024: 3846%
Drugs given in the office
2023: 342024: 0100%
Tests and treatments
2023: 152024: 0100%

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

  • In an office48650%
  • In a facility47850%

Dr. Madorsky compared with the California median for otolaryngologists, 2024

  • Dr. Madorsky
  • California median
Medicare services
964vs 66645% above
Medicare patients
300vs 296Close to median
Part D claims
92vs 11822% below

Medians across 1,045 otolaryngologists in California with Dmand AI profiles that report each measure.

Dr. Madorsky'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. Madorsky

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Madorsky and other otolaryngologists in California.

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

Dr. Simon Joseph Madorsky treated 300 Medicare patients in 2024, average age 76

CMS counts 300 Medicare patients who saw Dr. Madorsky in 2024. The largest group is 75 to 84, with 137 patients. 75% of them have high cholesterol, and 66% have high blood pressure. Their average risk score is 1.07, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Madorsky's median patient age at 59, with 48% women.

Medicare patients, 2024300
Average age76
Average risk score1.07

Dr. Madorsky's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Madorsky's Medicare patients by sex, 2024

  • Women14548%
  • Men15552%

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

  1. High cholesterol75%
  2. High blood pressure66%
  3. Arthritis52%
  4. Ischemic heart disease27%
  5. Anxiety18%
  6. Diabetes18%
  7. Cancer17%
  8. Mood disorders17%

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

Dr. Madorsky'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

  • Women48%
  • Men48%

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

Dr. Simon Joseph Madorsky wrote 138 Medicare Part D claims in 2024

In 2024, Dr. Madorsky wrote 138 Medicare Part D claims for 77 patients. 99% of them were for generic drugs. CMS names the drug for 92 of them, across 4 drugs with 11 or more claims each, at $588 in total drug cost. In 2023, CMS named 41 claims across 2 drugs.

Part D claims, 2024138
Drugs named by CMS4
Total drug cost$588
Part D patients77

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

  • Generic136 claims99%
  • Brand-name and other2 claims1%

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

  • Antibiotics45%62 of 138 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: 412024: 92124%

Drugs named by CMS: 4 in 2024, 2 in 2023.

See all prescribing by Dr. Madorsky

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. Simon Joseph Madorsky 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. Madorsky for performance year 2024, reported as part of a group. Dr. Madorsky accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Madorsky as offering telehealth. CMS counts 207 procedures of melanoma (skin cancer) excision by Dr. Madorsky, more than 97% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Madorsky's MIPS scores, performance year 2024

  • 75of 100Final score
  • 77.3of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 39of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Madorsky ranks in Medicare procedure volume

Melanoma (skin cancer) excision
97th percentile207 procedures
Removal of skin lesions
76th percentile107 procedures
Skin biopsy
75th percentile92 procedures

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

Removal of 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); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Simon Joseph Madorsky has 9 publications on record

Dmand AI links 9 papers to Dr. Madorsky in 2025.

Papers9

Recent publications by Dr. Madorsky

See all 9 publications and co-authors

See who Dr. Madorsky researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Madorsky works with, so you can find a warm path to the right otolaryngologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Simon Joseph Madorsky received $2,935 in industry payments from 2016 to 2025

CMS Open Payments shows 54 general payments to Dr. Madorsky from 17 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 85% of the total. Inspire Medical Systems, Inc. paid the most, $787.

General payments to Dr. Madorsky by program year, 2016 to 2025

General payments to Dr. Madorsky by kind, 2016 to 2025

$2.9Kin total
  • Food and beverage$2,50385%
  • Travel and lodging$43215%

Companies that paid Dr. Madorsky the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Madorsky

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

Dr. Simon Joseph Madorsky has 1 award and honors on record

Dmand AI lists 1 award for Dr. Madorsky, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Madorsky

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Simon Joseph Madorsky graduated from Baylor College Of Medicine

Dr. Madorsky graduated from Baylor College Of Medicine in 1990.

  1. Medical schoolBaylor College Of Medicine
  2. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Simon Joseph Madorsky accepts plans from 15 insurance carriers

Dr. Madorsky is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO 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
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • Regence Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Madorsky accepts, by number of carriers

  1. PPO10
  2. Medicare8
  3. HMO6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Simon Joseph Madorsky'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)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
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. Simon Joseph Madorsky

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. Simon Joseph Madorsky's NPI number?

Dr. Simon Joseph Madorsky's NPI number is 1447259981. It was assigned on July 18, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Simon Joseph Madorsky?

Dr. Simon Joseph Madorsky is an otolaryngologist in Newport Beach, California. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Simon Joseph Madorsky practice?

Dr. Madorsky practices at 180 Newport Center Dr, Newport Beach, CA 92660. Dr. Madorsky's primary practice is Skin Cancer and Reconstructive Surgery Center, LLC in Newport Beach, California. Dmand AI also links Dr. Madorsky to 3 group practices and clinics and 2 medical groups.

What is Dr. Simon Joseph Madorsky's office phone number?

The practice phone on file for Dr. Madorsky is (949) 200-1600.

What is Dr. Simon Joseph Madorsky's medical license number?

Dr. Madorsky's California license number on file is A50075, one of the licenses on file in 3 states.

Which states has Dr. Simon Joseph Madorsky been licensed in?

Dmand AI has state licenses on file for Dr. Madorsky in California (1991 to 2025), Oregon (since 1996) and Arizona (2021 to 2027).

Which hospitals is Dr. Simon Joseph Madorsky affiliated with?

Dr. Madorsky is affiliated with Hoag Hospital Newport Beach.

What medical group is Dr. Simon Joseph Madorsky part of?

Dr. Madorsky is linked to Skin Cancer and Reconstructive Surgery (SCARS) Center. Dmand AI links Dr. Madorsky to 2 more medical groups.

Does Dr. Simon Joseph Madorsky accept Medicare?

Yes. CMS data shows Dr. Madorsky billed Medicare for 964 services in 2024, and Dr. Madorsky accepts Medicare assignment.

Does Dr. Simon Joseph Madorsky offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Madorsky as offering telehealth services.

Show 10 more questionsShow fewer questions

What is Dr. Simon Joseph Madorsky's MIPS score?

Dr. Madorsky's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

How many Medicare patients does Dr. Simon Joseph Madorsky see?

CMS counts 300 Medicare patients who saw Dr. Madorsky in 2024, with an average age of 76.

Is Dr. Simon Joseph Madorsky board certified?

Yes. Dr. Madorsky is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Simon Joseph Madorsky bill to Medicare?

In 2024, Dr. Madorsky's most billed Medicare services were office visit, established patient (99214), surgery: skin and soft tissue (15004) and office visit, new patient (99204).

Where did Dr. Simon Joseph Madorsky go to medical school?

Dr. Madorsky graduated from Baylor College Of Medicine in 1990.

What drugs does Dr. Simon Joseph Madorsky prescribe most?

In 2024 Medicare Part D data, Dr. Madorsky's most prescribed drugs by claims were Cefadroxil, Celecoxib and Doxycycline Hyclate.

Has Dr. Simon Joseph Madorsky received payments from drug or device companies?

CMS Open Payments shows $2,935 in general payments to Dr. Madorsky from 17 companies from 2016 to 2025. The largest total came from Inspire Medical Systems, Inc.

How long has Dr. Simon Joseph Madorsky been practicing?

Dr. Madorsky graduated from medical school in 1990, 36 years ago.

Does Dr. Simon Joseph Madorsky do research?

Dmand AI links 9 publications to Dr. Madorsky.

What insurance does Dr. Simon Joseph Madorsky accept?

Dr. Madorsky is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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