Dr. Scott David Simon, MD

Dr. Simon practices at EGL Ambulatory Surgery Center in La Jolla, California.

Dr. Simon's NPI, 1841237955, was assigned on May 31, 2006. Dr. Simon graduated from Rush Medical College in 1996. Dr. Simon holds California license A89550.

Dr. Simon's primary practice is EGL Ambulatory Surgery Center, at 9834 Genesee Ave, La Jolla, CA 92037. The practice phone is (858) 453-3133.

Dr. Simon's primary practice is EGL Ambulatory Surgery Center in La Jolla, California. Dr. Simon is also affiliated with Scripps Memorial Hospital La Jolla. The medical group on file is La Jolla Urology Medical Group. Dmand AI also links Dr. Simon to 2 more hospitals, 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. Simon practices, 5 sites in all. Vendor and product names are available with a free account.

Urology is Dr. Simon's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Simon is board certified in urology by the American Board of Urology. Dmand AI has Dr. Simon's licenses on file in 3 states: California, Arizona and Illinois.

Dmand AI lists bladder disease, enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney cysts, kidney removal surgery, kidney stone disease and prostate cancer among the conditions Dr. Simon treats.

CMS data shows 1,549 Medicare services from Dr. Simon across 20 procedure codes in 2024, for 497 Medicare patients. Medicare paid $132,206 for them.

CMS counts 497 Medicare patients who saw Dr. Simon in 2024. The largest group is 75 to 84, with 202 patients. 75% of them have high cholesterol, and 73% have high blood pressure. 5% are also on Medicaid. Their average risk score is 1.31, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Simon's median patient age at 70, with 20% women.

In 2024, Dr. Simon wrote 1,362 Medicare Part D claims for 343 patients. 84% of them were for generic drugs. CMS names the drug for 1,232 of them, across 19 drugs with 11 or more claims each, at $181,772 in total drug cost. In 2023, CMS named 1,116 claims across 18 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 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 lists Dr. Simon as offering telehealth. CMS counts 25 procedures of prostate resection by Dr. Simon, more than 87% of the clinicians it reports for that procedure.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 3 papers to Dr. Simon. Dr. Simon's most frequent co-authors are Robert G. Ferrigni, MD and John P. Mulhall, MD.

CMS Open Payments shows 212 general payments to Dr. Simon from 51 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 91% of the total. Astellas Pharma US Inc paid the most, $1,393.

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

Dr. Simon graduated from Rush Medical College in 1996.

Dr. Simon is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.