Marc Simmons, M.D.
NPI 1164408506 · Emergency Medicine Physician · Lawrence, MA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Simmons, M.D. is a Emergency Medicine Physician provider in Lawrence, MA (NPI 1164408506).
Provider details
- NPI number
- 1164408506
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 204773 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
500 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 194 | $171 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 192 | $119 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 86 | $70 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 28 | $8 |
Typical Medicare-allowed amounts for these services range $8–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 71 | 68 |
| Tramadol Hcl | 63 | 63 |
| Prednisone | 42 | 42 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 18 |
| Meclizine Hcl | 14 | 12 |
| Ciprofloxacin Hcl | 12 | 11 |
| Lorazepam | 12 | 11 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2010-07-20
Frequently asked questions
- What is Marc Simmons's NPI number?
- Marc Simmons's National Provider Identifier (NPI) is 1164408506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Simmons's specialty?
- Marc Simmons is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Simmons located?
- Marc Simmons's practice location on file with NPPES is 1 General St, Lawrence, MA 01841-2961.
- What is Marc Simmons's phone number?
- The practice phone number listed in the NPPES registry for Marc Simmons is (978) 683-4000.
- Does Marc Simmons accept Medicare?
- Marc Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Simmons's NPI active?
- Yes — Marc Simmons's NPI (1164408506) is active in the NPPES registry as of the last update on 2010-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.