DAVID N SIMMONS M.D.
NPI 1124278379
Radiology - Diagnostic Radiology in Gadsden, AL

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
92.56/100
CMS Quality Rating
1007 GOODYEAR AVE, GADSDEN, AL 35903(256) 494-4000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Apr 10, 2023 (2 updates tracked since 2023).

About David N Simmons M.d. NPPES

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

DAVID N SIMMONS M.D. (NPI 1124278379) is an individual diagnostic radiology provider in Gadsden, Alabama, licensed in Alabama (29806) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1124278379
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID N SIMMONSCredential: M.D.
Location Address1007 GOODYEAR AVEGadsden, AL 35903-1195
Mailing AddressPo Box 830525Birmingham, AL 35283-0525 · (205) 871-4274 · Fax (205) 871-4301
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008
Enumeration DateSeptember 24, 2008
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1124278379 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 AL · 29806
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1007 GOODYEAR AVE, Gadsden, AL 35903

Secondary Practice Location 1

Location 11509 6TH AVE SBIRMINGHAM, AL 35233-1601 · Phone (205) 930-3200

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

David N 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.

PECOS PAC ID4688716814
PECOS Enrollment IDI20100126000366
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 39

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.

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.
806 services617 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
145 services138 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.
144 services144 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.
143 services143 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
132 services131 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
116 services114 patients

Hospital Affiliations CMS Care Compare 3

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

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35903 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

92.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.25
Improvement Activities40

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
46%37 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%193 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
89%28 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.

Physical Therapy Assistant
1007 GOODYEAR AVE
GADSDEN, AL 35903
Student in an Organized Health Care Education/Training Program
1007 GOODYEAR AVE
GADSDEN, AL 35903
Hospitalist
1007 GOODYEAR AVE
GADSDEN, AL 35903
Pharmacist
1007 GOODYEAR AVE
GADSDEN, AL 35903
Physician Assistant (Surgical)
1007 GOODYEAR AVE
GADSDEN, AL 35903
General Acute Care Hospital
1007 GOODYEAR AVE
GADSDEN, AL 35903
Dietitian, Registered
1007 GOODYEAR AVE
GADSDEN, AL 35903
Nurse Anesthetist, Certified Registered
1007 GOODYEAR AVE
GADSDEN, AL 35903

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 David Simmons's NPI number?

The NPI number for David Simmons is 1124278379. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is David Simmons located?

David Simmons practices at 1007 Goodyear Ave, Gadsden, AL 35903. The listed phone number is (256) 494-4000.

What is David Simmons's specialty?

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

Is David Simmons enrolled in Medicare?

Yes. David 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.

What insurance does David Simmons accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list David 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.

Is David Simmons affiliated with any hospitals?

According to CMS data, David Simmons is affiliated with Research Medical Center, Ascension St John Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for David Simmons was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.