Medicare Enrolled
Dr. Michael Simon, MD
Internal Medicine · Sayreville, NJ
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 →
Are you Dr. Simon?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Simon
Dr. Michael Simon is an internal medicine specialist in Sayreville, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Simon performed 2,055 Medicare services across 1,098 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simon received a total of $38,505 from 70 pharmaceutical and/or device companies across 2126 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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 22% volume in NJ
$38,505 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,055
Medicare services
Top 22% in NJ for internal medicine
1,098
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~103 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 |
|---|---|---|---|
| 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. |
998 | $99 | $433 |
| 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. |
131 | $61 | $198 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
127 | $11 | $49 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
124 | $33 | $49 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
110 | $142 | $341 |
| 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. |
93 | $72 | $140 |
| 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. |
92 | $87 | $261 |
| 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. |
74 | $62 | $288 |
| Annual depression screening | 56 | $18 | $49 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
44 | $144 | $444 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
34 | $22 | $52 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
34 | $8 | $52 |
| Budesonide inhalation solution, up to 0.5 mg Administration of FDA-approved budesonide inhalation solution via durable medical equipment in a unit dose form containing up to 0.5 mg. |
24 | $1 | $220 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
23 | $181 | $476 |
| Levalbuterol inhalation solution, 0.5 mg A 0.5 mg unit dose of FDA-approved levalbuterol inhalation solution administered via durable medical equipment. |
23 | $0 | $472 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
22 | $128 | $374 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
18 | $30 | $62 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
14 | $12 | $72 |
| Pneumococcal vaccine, 13-valent | 14 | $253 | $815 |
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 ↗$38,505
Total received (2018-2024)
Avg $5,501/year across 7 years
Top 2% in NJ for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
70
Companies
2,126
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
$27,170 (70.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$9,992 (26.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,343 (3.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$12,758
2023
$4,457
2022
$3,837
2021
$5,657
2020
$3,859
2019
$4,016
2018
$3,921
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$9,109
ABBVIE INC.
$454
Corcept Therapeutics
$365
Bayer Healthcare Pharmaceuticals Inc.
$279
Lilly USA, LLC
$271
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$269
Mylan Specialty L.P.
$240
Paratek Pharmaceuticals, Inc.
$232
SANOFI-AVENTIS U.S. LLC
$196
GlaxoSmithKline, LLC.
$163
Novo Nordisk Inc
$162
IDORSIA PHARMACEUTICALS US INC
$156
Exact Sciences Corporation
$118
Lundbeck LLC
$101
Baxter Healthcare
$93
Boehringer Ingelheim Pharmaceuticals, Inc.
$92
PFIZER INC.
$79
Amgen Inc.
$77
Otsuka America Pharmaceutical, Inc.
$71
SCILEX PHARMACEUTICALS INC.
$65
Takeda Pharmaceuticals U.S.A., Inc.
$46
Abbott Laboratories
$21
Astellas Pharma US Inc
$19
SANOFI PASTEUR INC.
$17
Janssen Pharmaceuticals, Inc
$17
Kowa Pharmaceuticals America, Inc.
$15
Esperion Therapeutics, Inc.
$15
Mannkind Corporation
$15
Top 3 companies account for 77.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$11,687
Novo Nordisk Inc
$2,937
SANOFI-AVENTIS U.S. LLC
$1,729
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,660
GlaxoSmithKline, LLC.
$1,540
Janssen Pharmaceuticals, Inc
$1,458
Biohaven Pharmaceuticals, Inc.
$1,343
Lilly USA, LLC
$1,158
AbbVie Inc.
$968
ABBVIE INC.
$865
PFIZER INC.
$857
Boehringer Ingelheim Pharmaceuticals, Inc.
$852
Amgen Inc.
$761
Amarin Pharma Inc.
$745
Mylan Specialty L.P.
$725
Merck Sharp & Dohme Corporation
$623
Bayer Healthcare Pharmaceuticals Inc.
$615
Allergan Inc.
$600
Paratek Pharmaceuticals, Inc.
$589
Allergan, Inc.
$524
Takeda Pharmaceuticals U.S.A., Inc.
$443
Novartis Pharmaceuticals Corporation
$419
Corcept Therapeutics
$380
Merck Sharp & Dohme LLC
$345
Mannkind Corporation
$322
Scilex Pharmaceuticals Inc.
$314
Bayer HealthCare Pharmaceuticals Inc.
$302
ARBOR PHARMACEUTICALS, INC.
$301
MannKind Corporation
$283
IDORSIA PHARMACEUTICALS US INC
$231
Almatica Pharma LLC
$218
BioDelivery Sciences International, Inc.
$196
Exact Sciences Corporation
$172
Lundbeck LLC
$162
Daiichi Sankyo Inc.
$156
Otsuka America Pharmaceutical, Inc.
$152
SCILEX PHARMACEUTICALS INC.
$147
Kowa Pharmaceuticals America, Inc.
$144
Abbott Laboratories
$133
Stryker Corporation
$132
Biohaven Pharmaceutical Holding Company Ltd.
$128
Eisai Inc.
$109
Esperion Therapeutics, Inc.
$100
EISAI INC.
$98
Baxter Healthcare
$93
Nabriva Therapeutics, plc
$84
Noden Pharma USA Inc
$79
Synergy Pharmaceuticals Inc
$71
SANOFI PASTEUR INC.
$65
Astellas Pharma US Inc
$59
Teva Pharmaceuticals USA, Inc.
$47
Azurity Pharmaceuticals, Inc.
$45
IBSA Pharma Inc.
$38
Endo Pharmaceuticals Inc.
$33
Purdue Pharma L.P.
$28
QOL Medical, LLC
$27
NOVARTIS PHARMACEUTICALS CORPORATION
$26
Globus Medical, Inc.
$19
BOSTON SCIENTIFIC CORPORATION
$18
Xeris Pharmaceuticals, Inc.
$18
Horizon Therapeutics plc
$15
Avanir Pharmaceuticals, Inc.
$15
LEO Pharma Inc.
$15
Bausch Health US, LLC
$14
Vanda Pharmaceuticals Inc.
$14
Lupin Inc.
$14
Romark Laboratories, LC
$13
ACADIA Pharmaceuticals Inc
$13
Boston Scientific Corporation
$13
E.R. Squibb & Sons, L.L.C.
$11
Top 3 companies account for 42.5% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · ANORO · ANORO ELLIPTA · APLENZIN · AREXVY · Aimovig · AirDuo Digihaler · Alinia Tablets 500mg 30 count bottle · Amitiza · Ankle Fracture System · BASAGLAR · BELBUCA · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BRINTELLIX · BUNAVAIL 2.1 mg 30-count box · BYSTOLIC · Belviq · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CYCLOSET · CYLTEZO · Cologuard Collection Kit · DIABETES - DISEASE · Dayvigo · Dymista · ELIQUIS · EMGALITY · ENSTILAR · ENTRESTO · Edarbi · Esperoct · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GENERAL PAIN MANAGEMENT · GLYXAMBI · GRALISE · GVOKE PFS · HETLIOZ · Hillrom - Carnation Ambulatory Monitor · Horizant · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LOKELMA · LOREEV XR · LYRICA · Licart · Livalo · MAKO · MOTEGRITY · MOUNJARO · MYRBETRIQ · NAPRELAN · NASCOBAL · NEXLETOL · NUEDEXTA · NUPLAZID · NURTEC ODT · NUZYRA · Otezla · Ozempic · PAXLOVID · PENNSAID · PREVNAR - 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RELISTOR ORAL · REXULTI · RYBELSUS · Repatha · Rybelsus · SERTRALINE HCL · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPECTRA WAVEWRITER · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · SUCRAID · SUPRAX · SYMBICORT · SYMPROIC · Saxenda · Sivextro · TEKTURNA · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TZIELD · Tirosint · Tresiba · Trintellix · Trulance · UBRELVY · VERQUVO · VIBERZI · VIIBRYD · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xenleta · Xultophy 100/3.6 · YUPELRI · Yupelri · ZTLido · 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 (71%) 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 internal medicine in NJ.
Geographic Context
Internal medicine physicians within 10 mi
3,502
Per 100K population
406.5
County median income
$109,028
Nearest hospital
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
5.2 mi
5.2 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 22% in NJ), with low-engagement industry engagement in the top 2% of NJ 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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Simon performed 998 office visit, established patient (30-39 min) 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 $38,505 from 70 companies across 2,126 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 internal medicine physicians in Sayreville?
Dr. Simon's average Medicare payment per service is $81. 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 →
Explore related providers
Same specialty & city
Internal Medicine Physicians in Sayreville
Browse internal medicine physicians in Sayreville ranked by procedure volume and transparency data.
Highest volume
Top Internal Medicine Physicians in NJ
Internal medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Internal Medicine Physicians in NJ
Which NJ internal medicine physicians receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
By company
SANOFI-AVENTIS U.S. LLC Payments to Doctors
See all physicians who received payments from SANOFI-AVENTIS U.S. LLC.
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