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DR. ALBERT CARLETON SIMMONDS IV M.D.
NPI 1114909868
Obstetrics & Gynecology in Damascus, MD

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
90.19/100
CMS Quality Rating
26005 RIDGE RD, SUITE 200, DAMASCUS, MD 20872(301) 414-2300(301) 414-2306 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Albert Carleton Simmonds Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALBERT CARLETON SIMMONDS IV M.D. (NPI 1114909868) is an individual obstetrics & gynecology provider in Damascus, Maryland, licensed in Maryland (D0043166) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Tulane University School Of Medicine (1988).

NPPES Registry Identity

NPI1114909868
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ALBERT CARLETON SIMMONDS IVCredential: M.D.
Location Address26005 RIDGE RD, SUITE 200Damascus, MD 20872-1892
Mailing Address26005 Ridge Rd, Suite 200Damascus, MD 20872-1892 · (301) 414-2300 · Fax (301) 414-2306
Phone(301) 414-2300
Fax(301) 414-2306
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1988
Enumeration DateNovember 17, 2005
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1114909868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · D0043166
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
26005 RIDGE RD, Damascus, MD 20872
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Other Identifiers 3

Medicare UPINF33195MD
Medicare PIN000B61M40DC
Medicare PIN420M603FMD

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. Albert Carleton Simmonds Iv 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.

PECOS PAC ID7315900024
PECOS Enrollment IDI20110329000245, I20121213000049
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Albert Simmonds reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Simmonds, Martin & Helmbrecht, LLC
0.3 mi
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
Damascus, MD 20872
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 60 clinicians in this Medicare group
NPI 1558411934 (301) 414-2300
Obhg Maryland PC
13 mi
Obstetrics & Gynecology
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, Maryland enrollment
  • 114 clinicians in this Medicare group
NPI 1821803628 (864) 908-3530
Maryland Physicians Edge LLC
20 mi
Obstetrics & Gynecology
10750 COLUMBIA PIKE STE 700
Silver Spring, MD 20901
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 107 clinicians in this Medicare group
NPI 1972922920 (301) 681-6772

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 5

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
204 services102 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
91 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services46 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20872 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost67.3

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%831 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%1,018 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%5,380 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%5,380 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
66%5,380 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
70%5,380 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. TARA HUDAK OLSON M.D.
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DANIELAH ANDREE G ASHTIER M.D
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DR. STACY ANDREWS M.D.
Specialist
26005 RIDGE RD, 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DR. SUSAN GAIL SMIGOCKI M.D.
Obstetrics & Gynecology (Gynecology)
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
MS. TARA SHANNON SMITH C.N.M.
Midwife
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DR. THOMAS WESLEY MARTIN M.D.
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
MRS. ANGEL JO MILLER CNM
Advanced Practice Midwife
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
APRIL M OAKLEY CNM
Advanced Practice Midwife
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300

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 Albert Simmonds's NPI number?

The NPI number for Albert Simmonds is 1114909868. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Albert Simmonds located?

Albert Simmonds practices at 26005 Ridge Rd Suite 200, Damascus, MD 20872. The listed phone number is (301) 414-2300.

What is Albert Simmonds's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Albert Simmonds enrolled in Medicare?

Yes. Albert Simmonds 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 Albert Simmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Simmonds reassigns Medicare benefits to 3 organizations: Simmonds, Martin & Helmbrecht, LLC (Damascus, MD), Obhg Maryland PC (Rockville, MD) and Maryland Physicians Edge LLC (Silver Spring, MD). 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 Albert Simmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Albert Simmonds affiliated with any hospitals?

According to CMS data, Albert Simmonds is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Albert Simmonds was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.