Michael Simmons, MD
NPI 1629242037 · Surgery Physician · Galax, VA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Simmons, MD is a Surgery Physician provider in Galax, VA (NPI 1629242037).
Provider details
- NPI number
- 1629242037
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L.4246R (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
590 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $88 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $63 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 56 | $124 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 53 | $93 |
| Dilation of Esophagus43450 | 39 | $38 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sucralfate | 75 | 33 |
| Pantoprazole Sodium | 32 | 12 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 29 | 26 |
| Hydrocortisone | 21 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 21 | 17 |
| Dextrose 5 % in Waterbrand: Dextrose in Water | 17 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$42 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
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Frequently asked questions
- What is Michael Simmons's NPI number?
- Michael Simmons's National Provider Identifier (NPI) is 1629242037, 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 Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Simmons located?
- Michael Simmons's practice location on file with NPPES is 225 Hospital Dr, Galax, VA 24333-2228.
- What is Michael Simmons's phone number?
- The practice phone number listed in the NPPES registry for Michael Simmons is (762) 366-9062.
- 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 (1629242037) is active in the NPPES registry as of the last update on 2022-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.