Scott Simmons, MD
NPI 1528175726 · Orthopaedic Surgery Physician · Pleasant Prairie, WI
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Simmons, MD is a Orthopaedic Surgery Physician provider in Pleasant Prairie, WI (NPI 1528175726).
Provider details
- NPI number
- 1528175726
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 45011 (WI)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,133 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 239 | $83 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 235 | $61 |
| X-Ray of Knee, 3 Views73562 | 227 | $45 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 128 | $119 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 59 | $103 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 115 | 105 |
| Meloxicam | 55 | 30 |
| Amoxicillin | 31 | 28 |
| Diclofenac Sodium | 20 | 14 |
| Methylprednisolone | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 10400 75th St#301Kenosha, WI 53142Phone: (262) 948-6727Fax: (262) 948-6761
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Frequently asked questions
- What is Scott Simmons's NPI number?
- Scott Simmons's National Provider Identifier (NPI) is 1528175726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Simmons's specialty?
- Scott Simmons is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Simmons located?
- Scott Simmons's practice location on file with NPPES is 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227.
- What is Scott Simmons's phone number?
- The practice phone number listed in the NPPES registry for Scott Simmons is (262) 857-5000.
- Does Scott Simmons accept Medicare?
- Scott Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Simmons's NPI active?
- Yes — Scott Simmons's NPI (1528175726) is active in the NPPES registry as of the last update on 2023-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.