Physician

Daniel J Simon, MD

According to 2025 Medicare claims, Daniel Simon, MD (NPI: 1205891512) practices ophthalmology in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Durham, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27704-2122. Simon is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Simon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 985 traditional Medicare patients, billed 2,027 HCPCS/CPT codes, and received $187,983 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,210 prescription claims across 363 beneficiaries totaling $219,581 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 1 records totaling $57. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $281,549 to $187,983. Concurrently, Part D prescription costs have changed little. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.