Lisa Simmons, MD
NPI 1790773737 · Hematology & Oncology Physician · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Simmons, MD is a Hematology & Oncology Physician provider in Fredericksburg, VA (NPI 1790773737).
Provider details
- NPI number
- 1790773737
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 33840 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
1,024 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) |
|---|---|---|
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 181 | $8 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 172 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 137 | $10 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 88 | $88 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, Additional Sequential Infusion, 1 Hour Or Less96367 | 67 | $27 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Anastrozole | 16 |
| Apixabanbrand: Eliquis | 16 |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$127 across 5 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
Additional practice locations (2)
- 4545 Empire CtFredericksburg, VA 22408-1949Phone: (540) 371-0079Fax: (540) 656-2653
- 125 Woodstream Blvd Ste 205Stafford, VA 22556-4630Phone: (540) 371-0079Fax: (540) 656-2653
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Lisa Simmons's NPI number?
- Lisa Simmons's National Provider Identifier (NPI) is 1790773737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Simmons's specialty?
- Lisa Simmons is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Simmons located?
- Lisa Simmons's practice location on file with NPPES is 4501 Empire Ct, Fredericksburg, VA 22408-1949.
- What is Lisa Simmons's phone number?
- The practice phone number listed in the NPPES registry for Lisa Simmons is (540) 371-0079.
- Does Lisa Simmons accept Medicare?
- Lisa Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Simmons's NPI active?
- Yes — Lisa Simmons's NPI (1790773737) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.