Medicare Enrolled
Dr. Gerald Simon, MD
Geriatric Medicine (Internal Medicine) Physician · Countryside, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Simon 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 →
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What this data tells you about Dr. Simon
Dr. Gerald Simon is a geriatric medicine physician in Countryside, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Simon performed 5,589 Medicare services across 1,964 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simon received a total of $9,776 from 62 pharmaceutical and/or device companies across 599 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (internal medicine) physician. 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. Simon 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.
✓ 20 years in practice
▲ Top 5% volume in IL
$9,776 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,589
Medicare services
Top 5% in IL for geriatric medicine (internal medicine) physician
1,964
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~279 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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,682 | $49 | $128 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
1,413 | $62 | $149 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
680 | $90 | $271 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
356 | $58 | $83 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
342 | $99 | $286 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
326 | $89 | $153 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
264 | $127 | $357 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
129 | $84 | $116 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
76 | $72 | $141 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
76 | $32 | $36 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
51 | $9 | $33 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
48 | $38 | $119 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
35 | $112 | $311 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
29 | $1 | $18 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
28 | $37 | $80 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
22 | $3 | $9 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
17 | $58 | $191 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
15 | $105 | $283 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$9,776
Total received (2018-2024)
Avg $1,397/year across 7 years
Top 2% in IL for geriatric medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
62
Companies
599
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
$9,660 (98.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$116 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,092
2023
$1,356
2022
$1,691
2021
$1,370
2020
$1,246
2019
$994
2018
$2,026
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$212
Lilly USA, LLC
$130
Amgen Inc.
$80
Novartis Pharmaceuticals Corporation
$77
Otsuka America Pharmaceutical, Inc.
$75
Phathom Pharmaceuticals, Inc.
$64
PFIZER INC.
$62
GlaxoSmithKline, LLC.
$57
Lundbeck LLC
$40
Abbott Laboratories
$39
Ascensia Diabetes Care Us Inc.
$38
ABBVIE INC.
$34
Esperion Therapeutics, Inc.
$28
Dexcom, Inc.
$28
Edwards Lifesciences Corporation
$27
Janssen Pharmaceuticals, Inc
$26
Vanda Pharmaceuticals Inc.
$22
Paratek Pharmaceuticals, Inc.
$19
Exact Sciences Corporation
$18
Philips North America LLC
$16
Top 3 companies account for 38.6% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,007
Novartis Pharmaceuticals Corporation
$815
Novo Nordisk Inc
$722
Lilly USA, LLC
$689
AstraZeneca Pharmaceuticals LP
$582
Amarin Pharma Inc.
$523
GlaxoSmithKline, LLC.
$398
Janssen Pharmaceuticals, Inc
$384
SANOFI-AVENTIS U.S. LLC
$372
ABBVIE INC.
$330
PFIZER INC.
$298
Boehringer Ingelheim Pharmaceuticals, Inc.
$288
AbbVie Inc.
$269
Dexcom, Inc.
$223
E.R. Squibb & Sons, L.L.C.
$218
Nestle HealthCare Nutrition Inc.
$178
Abbott Laboratories
$172
Allergan Inc.
$142
Xeris Pharmaceuticals, Inc.
$131
Sunovion Pharmaceuticals Inc.
$129
Avanir Pharmaceuticals, Inc.
$112
Radius Health, Inc.
$110
Otsuka America Pharmaceutical, Inc.
$107
Merck Sharp & Dohme LLC
$96
Lundbeck LLC
$94
Melinta Therapeutics, Inc.
$89
GENZYME CORPORATION
$83
Merck Sharp & Dohme Corporation
$82
Horizon Therapeutics plc
$71
SANOFI PASTEUR INC.
$71
HOSPIRA, INC.
$69
Bayer HealthCare Pharmaceuticals Inc.
$66
Phathom Pharmaceuticals, Inc.
$64
Boston Scientific Corporation
$64
Paratek Pharmaceuticals, Inc.
$57
Takeda Pharmaceuticals U.S.A., Inc.
$57
Astellas Pharma US Inc
$43
VBI Vaccines (Delaware) Inc.
$39
Ascensia Diabetes Care Us Inc.
$38
ADVANCED RESPIRATORY, INC
$34
Sumitomo Pharma America, Inc.
$32
Novum Pharma, LLC
$31
Neurocrine Biosciences, Inc.
$30
DEXCOM, INC.
$29
Esperion Therapeutics, Inc.
$28
Edwards Lifesciences Corporation
$27
Daiichi Sankyo Inc.
$26
Ironwood Pharmaceuticals, Inc
$25
AngioDynamics, Inc.
$22
Shire North American Group Inc
$22
Vanda Pharmaceuticals Inc.
$22
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
Noden Pharma USA Inc
$18
Philips Electronics North America Corporation
$18
Exact Sciences Corporation
$18
Scilex Pharmaceuticals Inc.
$16
Philips North America LLC
$16
ARBOR PHARMACEUTICALS, INC.
$12
Kowa Pharmaceuticals America, Inc.
$12
Teva Pharmaceuticals USA, Inc.
$12
Hikma Pharmaceuticals USA
$12
Bardy Diagnostics, Inc.
$10
Top 3 companies account for 26.0% of all-time payments
Associated products mentioned in payments ›
(CK7) Extended Holter · ADACEL · AIRSUPRA · ANORO ELLIPTA · APTIOM · AREXVY · AUSTEDO · Aimovig · Alcortin A · BASAGLAR · BREO · BYSTOLIC · Baxdela · CAMZYOS · CHANTIX · CREON · Carnation Ambulatory Monitor · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DIFICID · DUEXIS · DUPIXENT · DUZALLO · Dexcom CGM · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · EUCRISA · EVENITY · EVERSENSE E3 SENSOR KIT - RETAIL · Edarbyclor · FANAPT · FARXIGA · FIRAZYR · FLUBLOK QUADRIVALENT · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FORTEO · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · HUMALOG · INGREZZA · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · Mitigare · NAMZARIC · NEXLETOL · NUEDEXTA · NUZYRA · Ongentys · Otezla · Ozempic · PENNSAID · PNEUMOVAX 23 · PREVNAR 20 · PROCLAIM · PreHevbrio · Prolia · QUINJA · REXULTI · Repatha · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · The Vest System Model 105 Home Care · Tresiba · Trintellix · Tymlos · Utibron · VERQUVO · VESICARE · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Victoza · WATCHMAN Access System · Wellcentive Undiv · XARELTO · XIFAXAN · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for geriatric medicine (internal medicine) physician in IL.
Geographic Context
Geriatric medicine physicians within 10 mi
125
Per 100K population
2.4
County median income
$81,797
Nearest hospital
UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE
0.0 mi
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. Simon is a clinical cardiology specialist, with above-average Medicare volume (top 5% in IL), with low-engagement industry engagement in the top 2% of IL peers, with 20 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. Simon experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Simon performed 1,682 chronic care management, first 20 min/month 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. Simon receive payments from pharmaceutical companies?
Yes. Dr. Simon received a total of $9,776 from 62 companies across 599 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. Simon's costs compare to other geriatric medicine physicians in Countryside?
Dr. Simon's average Medicare payment per service is $67. 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. Simon) 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 →
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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.
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