Medicare Enrolled

Dr. Patrick Simon, MD

Orthopedic Surgery · Live Oak, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
6704 RANDOLPH BLVD, Live Oak, TX 78233
2104775151
In practice since 2006 (19 years)
NPI: 1710078969 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. Patrick Simon is an orthopedic surgery specialist in Live Oak, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Simon performed 2,229 Medicare services across 1,797 unique beneficiaries.

Between the years covered by Open Payments, Dr. Simon received a total of $3,689 from 13 pharmaceutical and/or device companies across 48 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 27% volume in TX $3,689 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,229
Medicare services
Top 27% in TX for orthopedic surgery
1,797
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~117 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 (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.
364 $61 $202
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
326 $5 $20
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.
263 $72 $299
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
254 $51 $191
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
147 $25 $78
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
122 $33 $99
Hyaluronan injection (Euflexxa) for joint
An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space.
105 $97 $414
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
104 $24 $78
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
74 $35 $151
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.
50 $88 $298
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
45 $169 $870
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
42 $26 $98
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
36 $38 $137
Total knee replacement 33 $941 $3,941
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
33 $32 $113
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
28 $298 $1,201
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
26 $26 $90
Repair of chronic torn shoulder rotator cuff
Surgical repair of a long-standing tear in the shoulder's rotator cuff tendons to restore function and reduce pain.
23 $630 $2,398
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
23 $24 $100
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.
23 $84 $456
Arthroscopic shoulder debridement
A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions.
21 $249 $1,740
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
17 $22 $92
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.
17 $100 $380
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
16 $35 $147
Anchoring of biceps tendon 13 $285 $2,092
Wrist tendon sheath incision
A surgical procedure to cut open the covering of the tendons on the top of the wrist.
12 $158 $946
Arthroscopic removal of knee cartilage
A minimally invasive surgical procedure to remove damaged or loose pieces of cartilage from the knee joint using a small camera and instruments inserted through tiny incisions.
12 $218 $1,599
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.
1.5% high complexity
36.4% medium
62.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,689
Total received (2018-2024)
Avg $615/year across 6 years
Bottom 42% in TX for orthopedic surgery
13
Companies
48
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,041 (55.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,648 (44.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$56
2023
$60
2021
$15
2020
$5
2019
$2,202
2018
$1,352

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medinc of Texas
$2,041
Zimmer Biomet Holdings, Inc.
$1,056
Ferring Pharmaceuticals Inc.
$156
Bioventus LLC
$124
DePuy Synthes Sales Inc.
$92
Stryker Corporation
$60
Think Surgical, Inc.
$39
SANOFI-AVENTIS U.S. LLC
$38
Allergan Inc.
$29
Flexion Therapeutics, Inc.
$19
HERAEUS MEDICAL, LLC.
$17
Smith+Nephew, Inc.
$15
Orthofix Medical, Inc.
$5
Top 3 companies account for 88.2% of total payments
Associated products mentioned in payments ›
Durolane · EUFLEXXA · INSIGNIA · Juggerknot · MONOVISC · PALACOS · Physio-Stim Osteogenesis Stimulator · REGENETEN · SYNVISC-ONE · Supartz · TMINI Miniature Robotic System · VRAYLAR · Zilretta
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 →

The majority of payments (55%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $166 per 100 Medicare services performed
Looking for an orthopedic surgery specialist in Live Oak?
Compare orthopedic surgeons in the Live Oak area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
183
Per 100K population
9.0
County median income
$70,571
Nearest hospital
LAUREL RIDGE TREATMENT CENTER
5.9 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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Simon is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), with speaking/promotional industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. 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 364 office visit, established patient (20-29 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 $3,689 from 13 companies across 48 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 orthopedic surgeons in Live Oak?
Dr. Simon's average Medicare payment per service is $75. 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 →
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. The Transparency Score measures 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 →