MARTIN D SIMMS MD
NPI 1114952330
Radiology - Diagnostic Radiology in Nashville, TN

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
210 25TH AVE N STE 1204, NASHVILLE, TN 37203(615) 312-0600(615) 320-3259 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2021, Mar 4, 2021, Nov 12, 2018 (3 updates tracked since 2018).

About Martin D Simms Md NPPES

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

MARTIN D SIMMS MD (NPI 1114952330) is an individual diagnostic radiology provider in Nashville, Tennessee, licensed in Tennessee (27873) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1114952330
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARTIN D SIMMSCredential: MD
Location Address210 25TH AVE N STE 1204Nashville, TN 37203-1620
Mailing Address210 25th Ave N Ste 1204Nashville, TN 37203-1620 · (615) 312-0600 · Fax (615) 320-3259
Fax(615) 320-3259
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1114952330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · 27873
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

210 25TH AVE N STE 1204, Nashville, TN 37203

Secondary Practice Location 1

Location 11710 Gunbarrel RdChattanooga, TN 37421-3127 · Phone (423) 309-9256

Other Identifiers 7

Other3045641TN · Adr Bc/bs Of Tn
Other3048172TN · Plaza Bc/bs Of Tn
Medicaid000741749GA
MedicaidQ003738TN
Other300064457TN · Rr Mcare-ci
Medicaid009804510AL
Other300064460TN · Rr Mcare-adr

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Martin D Simms Md 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 ID7810971033
PECOS Enrollment IDI20040615001812, I20071022000018, I20241211002820, I20251030001717
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.

Areas of Expertise CMS Part B claims 67

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
8,118 services85 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
6,331 services62 patients
Injection, gadobenate dimeglumine (multihance), per ml A9577
Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.
948 services64 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
354 services329 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
217 services217 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
217 services217 patients

Hospital Affiliations CMS Care Compare 5

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
99%194 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.

Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203

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 Martin Simms's NPI number?

The NPI number for Martin Simms is 1114952330. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Martin Simms located?

Martin Simms practices at 210 25th Ave N Ste 1204, Nashville, TN 37203. The listed phone number is (615) 312-0600.

What is Martin Simms's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Martin Simms enrolled in Medicare?

Yes. Martin Simms 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.

What insurance does Martin Simms accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Martin Simms 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.

Is Martin Simms affiliated with any hospitals?

According to CMS data, Martin Simms is affiliated with Tufts Medical Center, Chi St Alexius Health Williston, Southern Tennessee Regional Hlth System Winchester, Parkridge Medical Center and Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for Martin Simms was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.