Dr. Jonathan Simon , MD
Internal Medicine • Dover, DE
665 Bay Road, Unit B
Dover, DE 19901
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Jonathan Simon is listed in NPPES under Internal Medicine.
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NPI assigned on July 24, 2014; this date does not establish years in practice.
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Published CMS data list 1,993 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 680 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 473 service units.
- 99490 — Chronic care management services: 192 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 6,160 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 354 prescription fills, including refills.
- Rosuvastatin Calcium — 339 prescription fills, including refills.
- Amlodipine Besylate — 288 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 114 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: 960. Middle half: 686 to 1,703.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: 725. Middle half: 300 to 1,159.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,030 in 2020 to 1,993 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
665 Bay Road, Unit B
Dover, DE 19901
CMS Doctors and Clinicians lists 1 group name: Bayhealth Medical Center, Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
416 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $171,713 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $133,842 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
13,999 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$750,809 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $23.63 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Simon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Simon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Dover and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: 960. Middle half: 686 to 1,703.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: 725. Middle half: 300 to 1,159.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: $87,097. Middle half: $65,138 to $138,740.
A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $70,420. Middle half: $31,824 to $110,420.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: $67,762. Middle half: $49,422 to $105,190.
A higher Medicare payment amount than 85% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $54,415. Middle half: $24,740 to $87,023.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Dover, DE (2024, 29 clinicians with data). Median for this group: 222. Middle half: 46 to 3,913.
More Part D prescriptions than 85% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: 223. Middle half: 60 to 3,145.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Dover, DE (2024, 29 clinicians with data). Median for this group: $17,420. Middle half: $281 to $403,257.
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: $17,490. Middle half: $814 to $271,582.
44 active clinicians are listed under Internal Medicine with a practice address in Dover, DE (601 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Dover
18.2% of these 44 clinicians have the CMS telehealth indicator.
65.9% of these 44 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 93% from 1,030 in 2020 to 1,993 in 2024.
- 2020: 1,030
- 2021: 1,447
- 2022: 2,124
- 2023: 1,493
- 2024: 1,993
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Medicare-allowed amount
Medicare-allowed amount increased 92% from $89,416 in 2020 to $171,713 in 2024.
- 2020: $89,416
- 2021: $141,304
- 2022: $149,023
- 2023: $148,730
- 2024: $171,713
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Paid by Medicare
Paid by Medicare increased 108% from $64,327 in 2020 to $133,842 in 2024.
- 2020: $64,327
- 2021: $107,376
- 2022: $114,094
- 2023: $116,528
- 2024: $133,842
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 24% from 4,987 in 2020 to 6,160 in 2024.
- 2020: 4,987
- 2021: 5,562
- 2022: 6,246
- 2023: 6,103
- 2024: 6,160
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30-day fills
30-day fills increased 27% from 11,034 in 2020 to 13,999 in 2024.
- 2020: 11,034
- 2021: 12,314
- 2022: 14,279
- 2023: 14,283
- 2024: 13,999
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Part D drug cost
Part D drug cost increased 66% from $453,544 in 2020 to $750,809 in 2024.
- 2020: $453,544
- 2021: $581,579
- 2022: $718,709
- 2023: $697,811
- 2024: $750,809
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $68.81 in 2019 to $23.63 in 2024.
- 2019: $68.81
- 2020: $76.01
- 2021: $12.88
- 2022: $167.37
- 2024: $23.63
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $23.63.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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BRIDION | General | $23.63 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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680 | 352 | $257.94 | $125.07 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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473 | 278 | $26.12 | $16.04 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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192 | 35 | $72.92 | $61.38 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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141 | 141 | $211.84 | $124.97 |
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G0008
Administration of influenza virus vaccine
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88 | 87 | $50.63 | $31.89 |
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90662
Influenza vaccine split virus, preservative free
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85 | 84 | $119.58 | $80.54 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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58 | 58 | $459.49 | $290.18 |
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G0009
Administration of pneumococcal vaccine
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55 | 55 | $50.13 | $31.89 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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40 | 40 | $399.00 | $164.19 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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31 | 25 | $107.71 | $51.74 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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26 | 22 | $262.50 | $176.34 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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23 | 20 | $176.65 | $89.19 |
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90471
Administration of vaccine
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17 | 17 | $50.65 | $20.25 |
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G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
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17 | 17 | $317.18 | $161.56 |
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90715
Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)
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16 | 16 | $61.19 | $37.71 |
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83036
Hemoglobin a1c level
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14 | 14 | $19.00 | $9.52 |
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81003
Automated urinalysis test
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13 | 12 | $8.85 | $2.20 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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12 | 11 | $160.33 | $68.88 |
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G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
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12 | 12 | $308.75 | $162.14 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 354 | 28,980 | $5,227.88 | 117 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 339 | 27,337 | $8,079.63 | 115 |
| Amlodipine Besylate | Amlodipine Besylate | 288 | 23,707 | $2,522.42 | 101 |
| Levothyroxine Sodium | Levothyroxine Sodium | 200 | 17,148 | $2,576.48 | 67 |
| Lisinopril | Lisinopril | 177 | 13,099 | $1,044.62 | 54 |
| Pantoprazole Sodium | Pantoprazole Sodium | 164 | 12,247 | $2,212.78 | 57 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 157 | 11,385 | $1,630.38 | 52 |
| Metformin Hcl Er | Metformin Hcl | 138 | 9,930 | $1,397.27 | 43 |
| Omeprazole | Omeprazole | 135 | 10,944 | $2,318.07 | 48 |
| Hydrochlorothiazide | Hydrochlorothiazide | 132 | 10,485 | $418.17 | 40 |
| Tamsulosin Hcl | Tamsulosin Hcl | 130 | 9,802 | $1,782.58 | 40 |
| Losartan Potassium | Losartan Potassium | 123 | 10,844 | $1,532.24 | 45 |
| Metoprolol Succinate | Metoprolol Succinate | 118 | 8,870 | $2,137.21 | 36 |
| Glipizide Er | Glipizide | 117 | 8,713 | $1,077.97 | 38 |
| Alprazolam | Alprazolam | 101 | 3,060 | $432.22 | 26 |
| Bupropion Xl | Bupropion Hcl | 100 | 5,640 | $1,877.11 | 27 |
| Doxazosin Mesylate | Doxazosin Mesylate | 95 | 7,092 | $1,772.81 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 94 | 4,593 | $1,283.02 | 28 |
| Ozempic | Semaglutide | 93 | 3,872 | $123,875.42 | 22 |
| Allopurinol | Allopurinol | 87 | 7,320 | $805.49 | 34 |
| Buspirone Hcl | Buspirone Hcl | 83 | 4,705 | $1,384.54 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 79 | 4,865 | $560.72 | 23 |
| Gabapentin | Gabapentin | 77 | 4,447 | $1,715.63 | 24 |
| Famotidine | Famotidine | 75 | 4,998 | $1,044.77 | 30 |
| Furosemide | Furosemide | 67 | 4,094 | $330.12 | 24 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-10-17NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20171109001632
DE
0749409027
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Bayhealth Medical Center, Inc
665 Bay Rd Unit B, Dover, DE 19901
Phone: 3027446592
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 665 BAY ROAD, UNIT B, DOVER, DE 19901 (Tel: 3026085312)
Registered at 1012 MATTLIND WAY, MILFORD, DE 199635300 (Tel: 3024240600)
Registered at 640 S STATE ST # MC3055, DOVER, DE 199013530 (Tel: 3024801688)
NPI status registered as active in NPPES database
Registered at 310 MULLET RUN, MILFORD, DE 199635371 (Tel: 3024240600)
Registered at 640 S. STATE STREET, POB 3RD FLOOR, DOVER, DE 19901 (Tel: 3024801688)
Recorded as JONATHAN SIMON, M.D.
Internal Medicine (license number reported to NPPES: DE C1-0012286)
NPI status registered as active in NPPES database
Registered at 205 S FRONT ST, SUITE 3C, BRADY MEDICAL ARTS BUILDING, HARRISBURG, PA 171041619 (Tel: 7172318506)
Registered at 205 S. FRONT STREET, SUITE 3C, PINNACLE HEALTH, C/O SANDY NEWMAN, HARRISBURG, PA 17104 (Tel: 7172318506)
Recorded as JONATHAN SIMON, M.D.
Internal Medicine (license number reported to NPPES: PA MT207413)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Dover
- Dr. Jose Marte-Santana, MD
- Dr. Theodore Conrad Tan, MD
- Dr. Lawrence Ward, MD
- Dr. Sambhab Kumar, MD
- Dr. Vishnuveni Leelaruban, MD
- Martin Banks
Mailing Address
640 S State St # Mc3055
Dover, DE 199013530
Phone: 3026085312