Medicare Enrolled

Dr. Shiloh Simons, DO

Ophthalmology · San Diego, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
3075 HEALTH CENTER DR STE 403, San Diego, CA 92123
8582789900
In practice since 2007 (19 years)
NPI: 1447387279 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Simons from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Simons? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Simons

Dr. Shiloh Simons is an ophthalmology specialist in San Diego, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Simons performed 3,212 Medicare services across 2,248 unique beneficiaries.

Between the years covered by Open Payments, Dr. Simons received a total of $5,981 from 24 pharmaceutical and/or device companies across 143 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Simons is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 31% volume in CA $5,981 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,212
Medicare services
Top 31% in CA for ophthalmology
2,248
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~169 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Microfluid analysis of tears
A laboratory test that analyzes tear fluid using microfluidic technology to measure specific biomarkers. This procedure helps evaluate the composition of tears for diagnostic purposes.
770 $22 $50
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
552 $28 $125
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
477 $92 $185
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
318 $66 $140
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
298 $183 $496
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
202 $44 $140
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
200 $24 $75
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
76 $108 $200
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
63 $460 $2,150
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
58 $27 $75
Insertion of drug delivery implant into tear duct
A small implant containing medication is placed into the tear duct of the eye to deliver drugs directly to the eye over time.
56 $14 $500
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
54 $259 $500
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
44 $27 $120
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
44 $37 $140
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.0% high complexity
9.4% medium
88.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,981
Total received (2018-2024)
Avg $854/year across 7 years
Top 22% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
143
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,831 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$150 (2.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$999
2023
$1,123
2022
$1,006
2021
$294
2020
$459
2019
$12
2018
$2,088

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Glaukos Corporation
$275
Bausch & Lomb Americas Inc.
$200
Alcon Vision LLC
$192
Amgen Inc.
$139
ABBVIE INC.
$84
Oyster Point Pharma, Inc.
$56
Thea Pharma Inc.
$20
Sight Sciences, Inc.
$20
RxSight Inc
$14
Top 3 companies account for 66.7% of 2024 payments
All-time payments by company (2018-2024) ›
Johnson & Johnson Surgical Vision, Inc.
$1,841
Alcon Vision LLC
$988
Glaukos Corporation
$655
Bausch & Lomb Americas Inc.
$477
Horizon Therapeutics plc
$326
GLAUKOS CORPORATION
$268
Shire North American Group Inc
$150
Amgen Inc.
$139
Oyster Point Pharma, Inc.
$129
ABBVIE INC.
$123
Allergan, Inc.
$113
Novartis Pharmaceuticals Corporation
$111
Ocular Therapeutix, Inc.
$91
Kala Pharmaceuticals, Inc.
$86
Thea Pharma Inc.
$79
Bausch & Lomb, a division of Bausch Health US, LLC
$71
Mallinckrodt Hospital Products Inc.
$71
Sight Sciences, Inc.
$69
AbbVie Inc.
$62
RxSight Inc
$58
Aerie Pharmaceuticals, Inc.
$24
Harrow Eye, LLC
$24
Ivantis, Inc
$19
TearLab Corp
$8
Top 3 companies account for 58.3% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AcrySof IQ PanOptix · AcrySof IQ PanOptix UV IOL · Centurion · Clareon · DEXTENZA · DURYSTA · ENVISTA · Hydrus · IC-8 Apthera IOL · IHEEZO · INVELTYS · ISTENT · ISTENT INJECT W · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · IYUZEH · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LUMIGAN · LenSx · MIEBO · OMNI · OMNI SURGICAL SYSTEM · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · Rocklatan · SCOUTPRO · STELLARIS · Simbrinza · Stellaris · TEPEZZA · TYRVAYA · TearCare SmartLid · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Symfony IOL · VUITY · VYZULTA · Verion · Wavelight · Wavelight Refractive Suite · XIIDRA · enVista MX60 IOL · iDose · iStent Trabecular Micro-Bypass System Model iS3 · iStent inject W · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in San Diego?
Compare ophthalmologists in the San Diego area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
284
Per 100K population
8.7
County median income
$102,285
Nearest hospital
SHARP MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Simons is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Simons experienced with microfluid analysis of tears?
Based on Medicare claims data, Dr. Simons performed 770 microfluid analysis of tears services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Simons receive payments from pharmaceutical companies?
Yes. Dr. Simons received a total of $5,981 from 24 companies across 143 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Simons's costs compare to other ophthalmologists in San Diego?
Dr. Simons's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Simons) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →