Medicare Enrolled

Dr. Josef Simon, MD

Orthopaedic Surgery of the Spine Physician · Cambridge, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
300 MOUNT AUBURN ST, Cambridge, MA 02138
6174916766
Registered in NPPES since 2007
NPI: 1366638710 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. 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. Josef Simon is an orthopaedic surgery of the spine physician in Cambridge, MA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Simon performed 632 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Simon received a total of $1,618 from 9 pharmaceutical and/or device companies across 24 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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.

✓ 18 years of NPI registration ▲ Top 28% volume in MA $1,618 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
632
Medicare services
Top 28% in MA for orthopaedic surgery of the spine physician
Not available
Unique patients (not deduplicated)
$157
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
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.
211 $73 $253
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.
128 $106 $363
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
64 $35 $148
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
46 $90 $373
Partial removal of spine bone with nerve release, each additional segment
This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment.
38 $176 $2,470
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
27 $216 $2,811
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
24 $35 $146
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
20 $789 $7,143
X-ray of lower and sacral spine, minimum 6 views
An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment.
20 $58 $224
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
18 $33 $170
Placement of stabilizing device to back of 1 spine bone in neck
A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck.
13 $634 $5,353
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
12 $638 $5,551
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
11 $1,547 $10,974
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. These counts do not measure clinical quality or years of experience.
6.0% high complexity
0.0% medium
94.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,618
Total received (2018-2024)
Avg $404/year across 4 years
Bottom 17% in MA for orthopaedic surgery of the spine physician
9
Companies
24
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$97
2021
$46
2019
$1,207
2018
$268

Payments by company (2024)

Medical Device Business Services, Inc.
$72
DePuy Synthes Sales Inc.
$25
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$1,274
DAVOL INC.
$80
Abbott Laboratories
$64
NuVasive, Inc.
$62
DePuy Synthes Sales Inc.
$50
Flexion Therapeutics, Inc.
$25
Smith+Nephew, Inc.
$25
E.R. Squibb & Sons, L.L.C.
$22
Medtronic USA, Inc.
$14
Top 3 companies account for 87.7% of all-time payments
Associated products mentioned in payments ›
ARISTA AH · CONCORDE · ELIQUIS · MONOVISC · PICO 7 Single Use Negative Pressure Wound Therapy · Proclaim Family of SCS IPGs · RESTORE · Velys · VuePoint · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopaedic surgery of the spine physician in Cambridge?
Compare orthopaedic surgery of the spine physicians in the Cambridge area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopaedic surgery of the spine physicians in nearby ZIP areas
32
County median income
$126,779
Nearest hospital to ZIP centroid (approximate)
MOUNT AUBURN HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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 28% in MA), with 18 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 office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Simon performed 211 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Simon receive payments from pharmaceutical companies?
Yes. Dr. Simon received a total of $1,618 from 9 companies across 24 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 orthopaedic surgery of the spine physicians in Cambridge?
Dr. Simon's average Medicare payment per service is $157. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →