Marcus Simmons, MD
NPI 1770511180 · Internal Medicine Physician · Macon, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcus Simmons, MD is a Internal Medicine Physician provider in Macon, GA (NPI 1770511180).
Provider details
- NPI number
- 1770511180
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 049946 (GA)
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
19 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
13,647 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) |
|---|---|---|
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 3,431 | $45 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 1,769 | $74 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 1,718 | $59 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,171 | $119 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, Each Additional 20 Minutes99458 | 888 | $37 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 177 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 762 | 222 |
| Amlodipine Besylate | 703 | 212 |
| Levothyroxine Sodium | 523 | 136 |
| Metformin Hcl | 507 | 165 |
| Losartan Potassium | 445 | 128 |
| Rosuvastatin Calcium | 390 | 108 |
| Furosemide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$339 across 16 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
- 2006-06-28
- Last updated
- 2016-12-13
Frequently asked questions
- What is Marcus Simmons's NPI number?
- Marcus Simmons's National Provider Identifier (NPI) is 1770511180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcus Simmons's specialty?
- Marcus Simmons is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marcus Simmons located?
- Marcus Simmons's practice location on file with NPPES is 5569 Houston Rd, Macon, GA 31216-5709.
- What is Marcus Simmons's phone number?
- The practice phone number listed in the NPPES registry for Marcus Simmons is (478) 781-5065.
- Does Marcus Simmons accept Medicare?
- Marcus Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcus Simmons's NPI active?
- Yes — Marcus Simmons's NPI (1770511180) is active in the NPPES registry as of the last update on 2016-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.