Medicare Enrolled

Dr. Sheena Simon, M.D

Endocrinology · Temple, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1605 S 31ST ST, Temple, TX 76505
2542150100
Registered in NPPES since 2017
NPI: 1477073161 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. Sheena Simon is an endocrinology specialist in Temple, TX, with 9 years of NPI registration. Based on federal Medicare data, Dr. Simon performed 580 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 $1,206 from 22 pharmaceutical and/or device companies across 40 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.

✓ 9 years of NPI registration ▲ 580 Medicare services $1,206 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
580
Medicare services
Bottom 40% in TX for endocrinology
Not available
Unique patients (not deduplicated)
$91
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, 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.
243 $100 $280
New patient office visit, complex (60-74 min) 127 $121 $399
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.
61 $72 $209
Continuous glucose monitoring with interpretation
This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results.
54 $26 $145
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
44 $90 $201
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
21 $8 $24
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
18 $133 $392
Ultrasound-guided fine needle aspiration biopsy, first lesion
A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session.
12 $53 $403
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,206
Total received (2018-2024)
Avg $201/year across 6 years
Bottom 36% in TX for endocrinology
22
Companies
40
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
$16
2023
$296
2022
$178
2021
$456
2020
$227
2018
$34

Payments by company (2024)

Novartis Pharmaceuticals Corporation
$16
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$299
DEXCOM, INC.
$125
AstraZeneca Pharmaceuticals LP
$82
Boehringer Ingelheim Pharmaceuticals, Inc.
$69
Novartis Pharmaceuticals Corporation
$65
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$62
Vifor Pharma, Inc.
$59
Novo Nordisk Inc
$52
Paratek Pharmaceuticals, Inc.
$50
E.R. Squibb & Sons, L.L.C.
$47
Shionogi Inc
$43
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$36
PORTOLA PHARMACEUTICALS, INC.
$34
PORTOLA PHARMACEUTICALS, LLC
$34
Bayer HealthCare Pharmaceuticals Inc.
$26
Biogen, Inc.
$24
PFIZER INC.
$24
Astellas Pharma US Inc
$21
Fisher & Paykel Healthcare Inc
$18
Pharmacosmos Therapeutics Inc.
$14
Smith+Nephew, Inc.
$12
Inari Medical, Inc.
$11
Top 3 companies account for 41.9% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · BEVYXXA · COLLAGENASE SANTYL · DEXCOM G6 TRANSMITTER · ELIQUIS · ENTRESTO · FISHER & PAYKEL HEALTHCARE · Fetroja · FlowTriever · IMFINZI · JARDIANCE · LEQVIO · LifeVest · Monoferric · Myrbetriq · NUZYRA · NovoSeven RT · Veltassa · XARELTO · XIFAXAN
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 endocrinology specialist in Temple?
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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 moderate Medicare volume.

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, complex (40-54 min)?
Based on Medicare claims data, Dr. Simon performed 243 office visit, established patient, complex (40-54 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 $1,206 from 22 companies across 40 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 endocrinologists in Temple?
Dr. Simon's average Medicare payment per service is $91. 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.

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. 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 →