Dr. Claudia Sofia S. Simich, MD

  • Crownpoint, NM
  • Emergency medicine physician
NPI1912325200PAC ID6709127822
Medicare services, 2024
71
Medicare patients, 2024
81
Part D claims, 2024
79
MIPS score, 2024
84
Hospital affiliations
2
Practice address
Junction of Hwy 371, Crownpoint, NM 87313
Practice phone
Call (505) 786-5291
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Crownpoint Health Care Facility

Hospital · Crownpoint, New Mexico

See all 4 affiliations

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Dr. Claudia Sofia S. Simich is an emergency medicine physician in Crownpoint, New Mexico

Dr. Simich practices at Crownpoint Health Care Facility in Crownpoint, New Mexico, part of U.S. Department of Health and Human Services.

Dr. Simich's NPI, 1912325200, was assigned on April 3, 2014. Dr. Simich graduated from University of Puerto Rico School of Medicine in 2014. Dr. Simich holds New York license 293984.

NPI and contact details
Medicare PAC ID
6709127822
NPI enumeration date
April 3, 2014
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(505) 786-5291
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
38
Medical school graduation
2014

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

Dr. Claudia Sofia S. Simich practices at 2 locations in Crownpoint, New Mexico

Dr. Simich's primary practice is Crownpoint Health Care Facility, at Junction of Hwy 371, Crownpoint, NM 87313 in Mckinley County. The practice phone is (505) 786-5291. Dr. Simich also practices at Crownpoint Health Care Facility, 343 E Rt 9, Crownpoint, NM 87313.

  • Crownpoint Health Care FacilityPrimary
    Junction of Hwy 371, Crownpoint, NM 87313 · Mckinley CountyPhone(505) 786-5291
  • Crownpoint Health Care Facility
    343 E Rt 9, Crownpoint, NM 87313 · Mckinley CountyPhone(505) 786-5291

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

Dr. Claudia Sofia S. Simich is affiliated with 2 sites of care and 2 medical groups

Dr. Simich's primary practice is Crownpoint Health Care Facility in Crownpoint, New Mexico, part of U.S. Department of Health and Human Services. Dr. Simich is also affiliated with Centro Médico Episcopal San Lucas Ponce. The medical group on file is Crownpoint Health Care Facility. Dmand AI also links Dr. Simich to 1 more medical group, named with a free account. Dr. Simich's employer is on file too: a hospital.

See all 4 affiliations for Dr. Simich

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Claudia Sofia S. Simich's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simich practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Crownpoint Health Care FacilityAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Claudia Sofia S. Simich is one of 491 emergency medicine physicians in New Mexico

Emergency medicine is Dr. Simich's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Simich is licensed in New York.

Specialties and state licenses

  • Emergency medicine, New YorkPrimaryLicense 293984 · taxonomy 207P00000X

Emergency medicine physicians near Dr. Simich

Counts of emergency medicine physicians 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. Claudia Sofia S. Simich billed Medicare for 71 services in 2024

CMS data shows 71 Medicare services from Dr. Simich across 2 procedure codes in 2024, for 81 Medicare patients. Medicare paid $4,254 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202471
Medicare patients81
Paid by Medicare$4,254
Procedure codes2

Dr. Simich compared with the New Mexico median for emergency medicine physicians, 2024

  • Dr. Simich
  • New Mexico median
Medicare services
71vs 15354% below
Medicare patients
81vs 16350% below
Part D claims
16vs 5571% below

Medians across 502 emergency medicine physicians in New Mexico with Dmand AI profiles that report each measure.

Dr. Simich'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. Claudia Sofia S. Simich treated 81 Medicare patients in 2024, average age 72

CMS counts 81 Medicare patients who saw Dr. Simich in 2024. The largest group is 65 to 74, with 32 patients. 75% of them have high blood pressure, and 54% have high cholesterol. 35% are also on Medicaid. Their average risk score is 1.73, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Simich's median patient age at 72, with 83% women.

Medicare patients, 202481
Average age72
Average risk score1.73
Also on Medicaid35%

Dr. Simich's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Simich's Medicare patients by sex, 2024

  • Women4556%
  • Men3644%

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

  1. High blood pressure75%
  2. High cholesterol54%
  3. Diabetes51%
  4. Arthritis49%
  5. Ischemic heart disease27%
  6. Chronic kidney disease26%
  7. Anxiety25%
  8. Heart failure25%

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

Dr. Simich'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

  • Women83%
  • Men17%

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

Dr. Claudia Sofia S. Simich wrote 79 Medicare Part D claims in 2024

In 2024, Dr. Simich wrote 79 Medicare Part D claims for 44 patients. 90% of them were for generic drugs. CMS names the drug for 16 of them, across 1 drug with 11 or more claims each, at $85 in total drug cost.

Part D claims, 202479
Drugs named by CMS1
Total drug cost$85
Part D patients44

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

  • Generic71 claims90%
  • Brand-name and other8 claims10%

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

  • Antibiotics19%15 of 79 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Dr. Simich

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. Claudia Sofia S. Simich scored 84 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Simich for performance year 2024, reported as part of a group. Dr. Simich accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Simich's MIPS scores, performance year 2024

  • 84of 100Final score
  • 68.3of 100Quality
  • 40of 100Improvement Activities
  • 87of 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. Claudia Sofia S. Simich graduated from University of Puerto Rico School of Medicine

Dr. Simich graduated from University of Puerto Rico School of Medicine in 2014.

  1. Medical schoolUniversity of Puerto Rico School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Claudia Sofia S. Simich'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 Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy 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)
Training, board certification and membershipsDmand AI Professional Profile 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. Claudia Sofia S. Simich

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. Claudia Sofia S. Simich's NPI number?

Dr. Claudia Sofia S. Simich's NPI number is 1912325200. It was assigned on April 3, 2014, and it is active in the NPI Registry.

What kind of doctor is Dr. Claudia Sofia S. Simich?

Dr. Claudia Sofia S. Simich is an emergency medicine physician in Crownpoint, New Mexico. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Claudia Sofia S. Simich practice?

Dr. Simich practices at Junction of Hwy 371, Crownpoint, NM 87313. Dr. Simich also practices at 343 E Rt 9, Crownpoint, NM 87313. Dr. Simich's primary practice is Crownpoint Health Care Facility in Crownpoint, New Mexico, part of U.S. Department of Health and Human Services. Dmand AI also links Dr. Simich to 1 medical group.

What is Dr. Claudia Sofia S. Simich's office phone number?

The practice phone on file for Dr. Simich is (505) 786-5291.

What is Dr. Claudia Sofia S. Simich's medical license number?

Dr. Simich holds New York license 293984.

Which hospitals is Dr. Claudia Sofia S. Simich affiliated with?

Dr. Simich practices at Crownpoint Health Care Facility in Crownpoint, New Mexico. Dr. Simich is also affiliated with Centro Médico Episcopal San Lucas Ponce.

What medical group is Dr. Claudia Sofia S. Simich part of?

Dr. Simich is linked to Crownpoint Health Care Facility. Dmand AI links Dr. Simich to 1 more medical group.

Does Dr. Claudia Sofia S. Simich accept Medicare?

Yes. CMS data shows Dr. Simich billed Medicare for 71 services in 2024, and Dr. Simich accepts Medicare assignment.

What is Dr. Claudia Sofia S. Simich's MIPS score?

Dr. Simich's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.

How many Medicare patients does Dr. Claudia Sofia S. Simich see?

CMS counts 81 Medicare patients who saw Dr. Simich in 2024, with an average age of 72.

Show 4 more questionsShow fewer questions

What services does Dr. Claudia Sofia S. Simich bill to Medicare?

In 2024, Dr. Simich's most billed Medicare services were emergency department visit (99283) and emergency department visit (99284).

Where did Dr. Claudia Sofia S. Simich go to medical school?

Dr. Simich graduated from University of Puerto Rico School of Medicine in 2014.

What drugs does Dr. Claudia Sofia S. Simich prescribe most?

In 2024 Medicare Part D data, Dr. Simich's most prescribed drugs by claims were Ibuprofen.

How long has Dr. Claudia Sofia S. Simich been practicing?

Dr. Simich graduated from medical school in 2014, 12 years ago.

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