John Simmons, M.D.
NPI 1235662768 · Pulmonary Disease Physician · Nashville, TN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Simmons, M.D. is a Pulmonary Disease Physician provider in Nashville, TN (NPI 1235662768).
Provider details
- NPI number
- 1235662768
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,015 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 349 | $208 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $116 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 101 | $125 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 55 | $163 |
| Test to Determine Lung Volumes Using Gas Dilution Or Washout94727 | 53 | $33 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 52 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 124 | 40 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 102 | 48 |
| Fluticasone Propionate | 61 | 19 |
| Prednisone | 36 | 20 |
| Azithromycin | 30 | — |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 29 | — |
| Budesonide/Formoterol Fumarate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,085 across 83 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
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Frequently asked questions
- What is John Simmons's NPI number?
- John Simmons's National Provider Identifier (NPI) is 1235662768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Simmons's specialty?
- John Simmons is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is John Simmons located?
- John Simmons's practice location on file with NPPES is 4230 Harding Pike Ste 200, Nashville, TN 37205-2020.
- What is John Simmons's phone number?
- The practice phone number listed in the NPPES registry for John Simmons is (615) 964-5864.
- Does John Simmons accept Medicare?
- John Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Simmons's NPI active?
- Yes — John Simmons's NPI (1235662768) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.