Benjamin Simmons, MD
NPI 1548497381 · Family Medicine Physician · Monroe, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Simmons, MD is a Family Medicine Physician provider in Monroe, NC (NPI 1548497381).
Provider details
- NPI number
- 1548497381
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012-01385 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
372 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 | 77 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 | $87 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 61 | $76 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 47 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 28 | $118 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 176 | 44 |
| Amlodipine Besylate | 144 | 40 |
| Omeprazole | 93 | 20 |
| Metformin Hcl | 84 | 24 |
| Meloxicam | 82 | 18 |
| Losartan Potassium | 81 | 21 |
| Gabapentin | 63 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (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 (2)
- 420 Park StBelmont, NC 28012-3393Phone: (704) 631-1820
- 2001 Vail AveSte 400Charlotte, NC 28207-1248Phone: (704) 304-7000
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2024-07-15
Frequently asked questions
- What is Benjamin Simmons's NPI number?
- Benjamin Simmons's National Provider Identifier (NPI) is 1548497381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Simmons's specialty?
- Benjamin Simmons is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Simmons located?
- Benjamin Simmons's practice location on file with NPPES is 1106 Reynolds St, Monroe, NC 28112-4375.
- What is Benjamin Simmons's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Simmons is (704) 289-5443.
- Does Benjamin Simmons accept Medicare?
- Benjamin Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Simmons's NPI active?
- Yes — Benjamin Simmons's NPI (1548497381) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.