Dr. Biljana Simikic , DO
Internal Medicine β’ Springfield, MA
11 Wilbraham Rd
Springfield, MA 011093161
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. Biljana Simikic is listed in NPPES under Internal Medicine.
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NPI assigned on May 22, 2007; this date does not establish years in practice.
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Published CMS data list 228 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate β 26 prescription fills, including refills.
- Unifine Pentips (Pen Needle, Diabetic) β 24 prescription fills, including refills.
- Losartan Potassium β 23 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Internal Medicine in Springfield, MA (2024, 166 clinicians with data). Median for this group: 210. Middle half: 73 to 2,962.
Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 68 in 2020 to 228 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2020β2024.
Practice Location & Contact Primary Location
11 Wilbraham Rd
Springfield, MA 011093161
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
238 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
$27,410 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 β by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2007
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Simikic 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. Simikic 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 Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Internal Medicine in Springfield, MA (2024, 166 clinicians with data). Median for this group: 210. Middle half: 73 to 2,962.
Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Springfield, MA (2024, 166 clinicians with data). Median for this group: $15,094. Middle half: $1,213 to $271,703.
A lower Part D drug cost than 60% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: $103,819. Middle half: $9,088 to $319,703.
283 active clinicians are listed under Internal Medicine with a practice address in Springfield, MA (6,830 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
17% of these 283 clinicians have the CMS telehealth indicator.
69.6% of these 283 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 D prescriptions
Medicare Part D prescriptions increased 235% from 68 in 2020 to 228 in 2024.
- 2020: 68
- 2021: 794
- 2022: 418
- 2023: 811
- 2024: 228
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30-day fills
30-day fills increased 198% from 80 in 2020 to 238 in 2024.
- 2020: 80
- 2021: 1,042
- 2022: 543
- 2023: 841
- 2024: 238
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Part D drug cost
Part D drug cost increased 371% from $5,825 in 2020 to $27,410 in 2024.
- 2020: $5,825
- 2021: $26,289
- 2022: $23,397
- 2023: $93,863
- 2024: $27,410
Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
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 |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 26 | 728 | $465.28 | β |
| Unifine Pentips | Pen Needle, Diabetic | 24 | 720 | $464.80 | β |
| Losartan Potassium | Losartan Potassium | 23 | 644 | $367.83 | β |
| Atorvastatin Calcium | Atorvastatin Calcium | 22 | 616 | $757.35 | β |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 22 | 802 | $1,174.18 | β |
| Gabapentin | Gabapentin | 21 | 692 | $728.61 | β |
| Jardiance | Empagliflozin | 20 | 560 | $12,070.37 | β |
| Pantoprazole Sodium | Pantoprazole Sodium | 19 | 532 | $665.83 | β |
| Omeprazole | Omeprazole | 15 | 422 | $879.30 | β |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 12 | 336 | $549.05 | β |
| Symbicort | Budesonide/Formoterol Fumarate | 12 | 360 | $3,022.80 | β |
| Tradjenta | Linagliptin | 12 | 336 | $6,264.24 | β |
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
NUCC 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.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20111021000537
MA
9638342447
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated May 22, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Springfield
- Dr. Gina Friedt, DO
- Dr. Carla Jacobs, DO
- Dr. Barry Smith, DO
- Dr. Kay Thi Oo, MD
- Dr. Janhvi Nimbalkar, MD
- Dr. Anthony Kusiak, MD
Mailing Address
280 Chestnut St, 2nd Floor
Springfield, MA 011991001
Phone: 4137945700