DR. JAMES SIMMONS D.O.
NPI 1043519853
Hospitalist in Fresno, CA
About Dr. James Simmons D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES SIMMONS D.O. (NPI 1043519853) is an individual hospitalist provider in Fresno, California, licensed in California (20A12478) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2011).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Simmons D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show James Simmons reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93711
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 962 clinicians in this Medicare group
Sanger, CA 93657
- Reassigned Medicare billing, California enrollment
- 678 clinicians in this Medicare group
Reedley, CA 93654
- Reassigned Medicare billing, California enrollment
- 315 clinicians in this Medicare group
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Simmons's NPI number?
The NPI number for James Simmons is 1043519853. It was assigned to this individual provider in the NPPES registry on March 18, 2011.
Where is James Simmons located?
James Simmons practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 499-6500.
What is James Simmons's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is James Simmons enrolled in Medicare?
Yes. James Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Simmons reassigns Medicare benefits to 5 organizations: Hinds Hospice (Fresno, CA), Galen Inpatient Physicians PC (Fresno, CA), Adventist Health Physicians Network (Sanger, CA), Reedley Community Hospital (Reedley, CA) and California Emergency Physicians Medical Group A Professional Corp (Terre Haute, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Simmons was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. James Simmons, D.O. · NPI 1043519853
Hospitalist physician in Fresno, California. Individual provider, active in the CMS NPPES registry since March 18, 2011.
## Identity
- **NPI:** 1043519853 (Entity type: Individual)
- **Enumerated:** March 18, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 20A12478 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 N FRESNO ST, Fresno, CA 93701-2302
- **Phone:** (559) 499-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Hinds Hospice (NPI 1477873115, Fresno, CA); Galen Inpatient Physicians PC (NPI 1407679194, Fresno, CA); Adventist Health Physicians Network (NPI 1831604818, Sanger, CA); Reedley Community Hospital (NPI 1336167550, Reedley, CA); California Emergency Physicians Medical Group A Professional Corp (NPI 1255292496, Terre Haute, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2011
## Record status
- **NPPES last updated:** November 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1043519853) · Data from the CMS NPPES public registry.