John Simmons, M.D.
NPI 1942582929 · Otolaryngology Physician · Austin, TX
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Simmons, M.D. is a Otolaryngology Physician provider in Austin, TX (NPI 1942582929).
Provider details
- NPI number
- 1942582929
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- BP10039761 (TX)
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
14 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
331 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) |
|---|---|---|
| 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 | 109 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 46 | $86 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 38 | $161 |
| Removal of Impacted Ear Wax69210 | 24 | $47 |
| 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 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 56 | 22 |
| Omeprazole | 29 | — |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 25 | 21 |
| Azelastine Hcl | 25 | 16 |
| Fluticasone Propionate | 21 | — |
| Mupirocin | 17 | 16 |
| Trazodone Hcl | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$331 across 10 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
- 2011-09-15
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is John Simmons's NPI number?
- John Simmons's National Provider Identifier (NPI) is 1942582929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Simmons's specialty?
- John Simmons is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is John Simmons located?
- John Simmons's practice location on file with NPPES is 3816 S 1st St, Austin, TX 78704-7048.
- What is John Simmons's phone number?
- The practice phone number listed in the NPPES registry for John Simmons is (512) 443-1311.
- Does John Simmons accept Medicare?
- John Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Simmons's NPI active?
- Yes — John Simmons's NPI (1942582929) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.