JOHN WALTON SIMMONS SR. MD
NPI 1154626430
Family Medicine in Spartanburg, SC

Active since January 19, 2011PECOS Enrolled
4245 CLIFTON GLENDALE RD, SPARTANBURG, SC 29307(864) 266-7164 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Walton Simmons Sr. Md NPPES

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

JOHN WALTON SIMMONS SR. MD (NPI 1154626430) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (5819) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154626430
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN WALTON SIMMONS SR.Credential: MD
Location Address4245 CLIFTON GLENDALE RDSpartanburg, SC 29307-3409
Mailing Address1855 E Main St, Suite 14 Box 6Spartanburg, SC 29307-2309 · (864) 266-7164
Sole ProprietorYes
Enumeration DateJanuary 19, 2011
NPI 1154626430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 5819
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4245 CLIFTON GLENDALE RD, Spartanburg, SC 29307

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Walton Simmons Sr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Simmons's NPI number?

The NPI number for John Simmons is 1154626430. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is John Simmons located?

John Simmons practices at 4245 Clifton Glendale Rd, Spartanburg, SC 29307. The listed phone number is (864) 266-7164.

What is John Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Simmons enrolled in Medicare?

Yes. John Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Simmons was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.