Dr. Robert Thomas Simon, MD
- Medicare services, 2024
- 1,476
- Medicare patients, 2024
- 524
- Part D claims, 2024
- 4,784
- MIPS score, 2024
- 85
- Hospital affiliations
- 4
- Practice address
- 599 State Highway 37, Toms River, NJ 08755
- Practice phone
- Call (609) 893-1200
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Advanced Heart, Lung and Vascular Care
Toms River, New Jersey
Find Dr. Simon's professional email, personal email and mobile number
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Dr. Robert Thomas Simon is an internist in Toms River, New Jersey
Dr. Simon practices at Advanced Heart, Lung and Vascular Care in Toms River, New Jersey.
Dr. Simon's NPI, 1538242037, was assigned on October 20, 2006. Dr. Simon graduated from Rutgers New Jersey Medical School in 1986. Dr. Simon holds New Jersey license 25MA05304800.
- NPI
- 1538242037NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6507849056
- NPI enumeration date
- October 20, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (609) 893-1200
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 66
- Medical school graduation
- 1986
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Robert Thomas Simon practices at Advanced Heart, Lung and Vascular Care in Toms River, New Jersey
Dr. Simon's primary practice is Advanced Heart, Lung and Vascular Care, at 599 State Highway 37, Toms River, NJ 08755 in Ocean County. The practice phone is (609) 893-1200.
- Advanced Heart, Lung and Vascular Care599 State Highway 37, Toms River, NJ 08755 · Ocean CountyPhone(609) 893-1200
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Robert Thomas Simon is affiliated with 9 sites of care and 1 medical group
Dr. Simon's primary practice is Advanced Heart, Lung and Vascular Care in Toms River, New Jersey. Dr. Simon is also affiliated with Community Medical Center. The medical group on file is Deborah Heart and Lung Center. Dmand AI also links Dr. Simon to 3 more hospitals, 3 home health agencies and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Robert Thomas Simon's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simon practices, 8 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Advanced Heart, Lung and Vascular Care | Available with a free account |
| +8 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Robert Thomas Simon is one of 4,226 internists in New Jersey
Internal medicine is Dr. Simon's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Simon is licensed in New Jersey.
Specialties and state licenses
- Internal medicine, New JerseyPrimary
Internists near Dr. Simon
Counts of internists 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. Robert Thomas Simon billed Medicare for 1,476 services in 2024
CMS data shows 1,476 Medicare services from Dr. Simon across 10 procedure codes in 2024, for 524 Medicare patients. Medicare paid $122,970 for them. Every service was in an office.
Dr. Simon's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 9692024: 84613%
- Other services
- 2023: 802024: 374368%
- Tests and treatments
- 2023: 1312024: 19448%
- Lab and pathology
- 2023: 02024: 62
Dr. Simon compared with the New Jersey median for internists, 2024
- Dr. Simon
- New Jersey median
- Medicare services
- 1,476vs 7232.0 times
- Medicare patients
- 524vs 2312.3 times
- Part D claims
- 4,291vs 8305.2 times
Medians across 4,086 internists in New Jersey 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.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Robert Thomas Simon treated 524 Medicare patients in 2024, average age 77
CMS counts 524 Medicare patients who saw Dr. Simon in 2024. The largest group is 75 to 84, with 223 patients. 75% of them have high cholesterol, and 74% have high blood pressure. 2% 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. Simon's median patient age at 72, with 48% women.
Dr. Simon's Medicare patients by age, 2024
Dr. Simon's Medicare patients by sex, 2024
- Women27953%
- Men24547%
Chronic conditions among Dr. Simon's Medicare patients, 2024
- High cholesterol75%
- High blood pressure74%
- Arthritis47%
- Ischemic heart disease36%
- Diabetes33%
- Anxiety29%
- Atrial fibrillation21%
- Cancer21%
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
- Women48%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Robert Thomas Simon wrote 4,784 Medicare Part D claims in 2024
In 2024, Dr. Simon wrote 4,784 Medicare Part D claims for 620 patients. 90% of them were for generic drugs. CMS names the drug for 4,291 of them, across 66 drugs with 11 or more claims each, at $404,205 in total drug cost. In 2023, CMS named 3,482 claims across 60 drugs.
Dr. Simon's Part D claims by kind of drug, 2024
- Generic4,293 claims90%
- Brand-name444 claims9%
- Other47 claims1%
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
- Antibiotics3%144 of 4,784 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: 3,4822024: 4,29123%
Drugs named by CMS: 66 in 2024, 60 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. Robert Thomas Simon scored 85 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Simon for performance year 2024, reported as part of a group. Dr. Simon accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Simon's MIPS scores, performance year 2024
- 85of 100Final score
- 72of 100Quality
- 90of 100Promoting Interoperability
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Robert Thomas Simon graduated from Rutgers New Jersey Medical School
Dr. Simon graduated from Rutgers New Jersey Medical School in 1986.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Robert Thomas Simon'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 | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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) |
| Training, board certification and memberships | Dmand AI Professional Profile 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. Robert Thomas 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. Robert Thomas Simon's NPI number?
Dr. Robert Thomas Simon's NPI number is 1538242037. It was assigned on October 20, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Robert Thomas Simon?
Dr. Robert Thomas Simon is an internist in Toms River, New Jersey. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Robert Thomas Simon practice?
Dr. Simon practices at 599 State Highway 37, Toms River, NJ 08755. Dr. Simon's primary practice is Advanced Heart, Lung and Vascular Care in Toms River, New Jersey. Dmand AI also links Dr. Simon to 3 hospitals, 3 home health agencies and 1 group practice or clinic.
What is Dr. Robert Thomas Simon's office phone number?
The practice phone on file for Dr. Simon is (609) 893-1200.
What is Dr. Robert Thomas Simon's medical license number?
Dr. Simon holds New Jersey license 25MA05304800.
Which hospitals is Dr. Robert Thomas Simon affiliated with?
Dr. Simon is affiliated with Community Medical Center. Dmand AI links Dr. Simon to 3 more hospitals.
What medical group is Dr. Robert Thomas Simon part of?
Dr. Simon is linked to Deborah Heart and Lung Center.
Does Dr. Robert Thomas Simon accept Medicare?
Yes. CMS data shows Dr. Simon billed Medicare for 1,476 services in 2024, and Dr. Simon accepts Medicare assignment.
What is Dr. Robert Thomas Simon's MIPS score?
Dr. Simon's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.
How many Medicare patients does Dr. Robert Thomas Simon see?
CMS counts 524 Medicare patients who saw Dr. Simon in 2024, with an average age of 77.
Show 4 more questionsShow fewer questions
What services does Dr. Robert Thomas Simon bill to Medicare?
In 2024, Dr. Simon's most billed Medicare services were office visit, established patient (99213), medicare service (G0439) and office visit, established patient (99214).
Where did Dr. Robert Thomas Simon go to medical school?
Dr. Simon graduated from Rutgers New Jersey Medical School in 1986.
What drugs does Dr. Robert Thomas Simon prescribe most?
In 2024 Medicare Part D data, Dr. Simon's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Metformin HCl.
How long has Dr. Robert Thomas Simon been practicing?
Dr. Simon graduated from medical school in 1986, 40 years ago.
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