DR. TODD D SIMMONS M.D.
NPI 1053402552
Orthopaedic Surgery in Park Ridge, IL
About Dr. Todd D Simmons M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TODD D SIMMONS M.D. (NPI 1053402552) is an individual orthopaedic surgery provider in Park Ridge, Illinois, licensed in Illinois (036093549) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Park Ridge, and is a graduate of Ohio State University College Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
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. Todd D Simmons M.d. 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
2Medicare enrollment records show Todd Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Bannockburn, IL 60015
- Reassigned Medicare billing, Illinois enrollment
- 538 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Todd Simmons's NPI number?
The NPI number for Todd Simmons is 1053402552. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Todd Simmons located?
Todd Simmons practices at 1550 N Northwest Hwy Suite 220, Park Ridge, IL 60068. The listed phone number is (847) 824-3198.
What is Todd Simmons's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Todd Simmons enrolled in Medicare?
Yes. Todd 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 Todd Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Simmons reassigns Medicare benefits to 2 organizations: Lutheran General Hospital (Park Ridge, IL) and Illinois Bone And Joint Institute LLC (Bannockburn, IL). 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 Todd Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Todd Simmons accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Todd Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Todd Simmons was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Todd D Simmons, M.D. · NPI 1053402552
Orthopaedic Surgery physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1053402552 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 036093549 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 N NORTHWEST HWY, SUITE 220, Park Ridge, IL 60068-1411
- **Phone:** (847) 824-3198 · **Fax:** (847) 824-1291
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Lutheran General Hospital (NPI 1801809306, Park Ridge, IL); Illinois Bone And Joint Institute LLC (NPI 1205922432, Bannockburn, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 1992
## Record status
- **NPPES last updated:** July 22, 2022
- **Other identifiers:** Medicaid 036093549 (IL); Other 201217 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1053402552) · Data from the CMS NPPES public registry.