Michael Simmons, MD
NPI 1225023344 · Urology Physician · Gainesville, GA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Simmons, MD is a Urology Physician provider in Gainesville, GA (NPI 1225023344).
Provider details
- NPI number
- 1225023344
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 93682 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,868 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 428 | $122 |
| Automated Urinalysis Test81003 | 325 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 209 | $87 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 162 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 152 | $9 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 99 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 546 | 174 |
| Finasteride | 319 | 90 |
| Mirabegronbrand: Myrbetriq | 201 | 48 |
| Methenamine Hippurate | 131 | 33 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 90 | 80 |
| Ciprofloxacin Hcl | 85 | 73 |
| Bicalutamide | 80 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$201 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 750 Byron RdScottsboro, AL 35769-4051Phone: (256) 259-8765Fax: (256) 716-8060
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Michael Simmons's NPI number?
- Michael Simmons's National Provider Identifier (NPI) is 1225023344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Simmons's specialty?
- Michael Simmons is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Simmons located?
- Michael Simmons's practice location on file with NPPES is 743 Spring St Ne, Gainesville, GA 30501-3715.
- What is Michael Simmons's phone number?
- The practice phone number listed in the NPPES registry for Michael Simmons is (770) 219-8430.
- Does Michael Simmons accept Medicare?
- Michael Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Simmons's NPI active?
- Yes — Michael Simmons's NPI (1225023344) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.