JOHN SIMMONS, M.D.
Pulmonary Disease Physician · NASHVILLE, TN
Individual Active NPI 1235662768
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 1,126 | $868,230 | $149,253 | $118,480 |
| 2023 | 117 | 283 | $180,023 | $35,470 | $27,902 |
| 2022 | 23 | 40 | $25,581 | $5,245 | $4,191 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 349 | $208 | $165 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 185 | $116 | $93 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 101 | $125 | $100 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 55 | $163 | $127 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 53 | $33 | $27 |
| 94729 | Test to examine how well the lungs exchange gases | 52 | $41 | $32 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | $170 | $138 |
| 94010 | Test to measure expiratory airflow and volume | 32 | $20 | $16 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 31 | $29 | $22 |
| 94375 | Test to measure rate of airflow | 18 | $37 | $30 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 16 | $135 | $110 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 15 | $1 | $1 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 68095 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — | |
| Internal Medicine Physician | 207R00000X | 37775 | AL |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.