Martha Simmons, MD
NPI 1548522626 · Family Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Martha Simmons, MD is a Family Medicine Physician provider in Philadelphia, PA (NPI 1548522626).
Provider details
- NPI number
- 1548522626
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD453922 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
100 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 | 37 | $93 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 30 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $131 |
| 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 | 13 | $17 |
Typical Medicare-allowed amounts for these services range $9–$131 (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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 47 | 25 |
| Amlodipine Besylate | 43 | 16 |
| Empagliflozinbrand: Jardiance | 31 | — |
| Lisinopril | 26 | — |
| Dapagliflozin Propanediolbrand: Farxiga | 20 | — |
| Metformin Hcl | 19 | — |
Practice location
Mailing address
Additional practice locations (4)
- 805 S Governors AveDover, DE 19904-4158Phone: (302) 678-5200
- 140 E Delaware AveNewark, DE 19711-4649Phone: (302) 731-7801
- 625 N Shipley StWilmington, DE 19801Phone: (302) 655-7296
- 1824 Madison AveNew York, NY 10035-3832Phone: (212) 423-4500Fax: (212) 423-1417
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Frequently asked questions
- What is Martha Simmons's NPI number?
- Martha Simmons's National Provider Identifier (NPI) is 1548522626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Martha Simmons's specialty?
- Martha Simmons is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Martha Simmons located?
- Martha Simmons's practice location on file with NPPES is 5201 Old York Rd Ste 311, Philadelphia, PA 19141-2987.
- What is Martha Simmons's phone number?
- The practice phone number listed in the NPPES registry for Martha Simmons is (215) 394-4195.
- Does Martha Simmons accept Medicare?
- Martha Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Martha Simmons's NPI active?
- Yes — Martha Simmons's NPI (1548522626) is active in the NPPES registry as of the last update on 2022-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.