Anthony Simms, M.D.
NPI 1972815785 · Anatomic Pathology & Clinical Pathology Physician · Riverdale, GA
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Simms, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Riverdale, GA (NPI 1972815785).
Provider details
- NPI number
- 1972815785
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 71636 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
326 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 164 | $36 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 65 | $27 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 43 | $33 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 35 | $11 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique88112 | 19 | $26 |
Typical Medicare-allowed amounts for these services range $11–$36 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2015-07-23
Frequently asked questions
- What is Anthony Simms's NPI number?
- Anthony Simms's National Provider Identifier (NPI) is 1972815785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Simms's specialty?
- Anthony Simms is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Simms located?
- Anthony Simms's practice location on file with NPPES is 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615.
- What is Anthony Simms's phone number?
- The practice phone number listed in the NPPES registry for Anthony Simms is (678) 423-1550.
- Does Anthony Simms accept Medicare?
- Anthony Simms is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Simms's NPI active?
- Yes — Anthony Simms's NPI (1972815785) is active in the NPPES registry as of the last update on 2015-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.