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DR. LISA E SIMMONDS M.D.
NPI 1184874778
Obstetrics & Gynecology - Maternal & Fetal Medicine in Charlottesville, VA

Active since September 19, 2008PECOS EnrolledAccepts Medicare Assignment
1204 W MAIN ST FL 3, CHARLOTTESVILLE, VA 22908(434) 924-2500(434) 244-9487 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2022, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Lisa E Simmonds M.d. NPPES

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

DR. LISA E SIMMONDS M.D. (NPI 1184874778) is an individual maternal & fetal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101265892) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184874778
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. LISA E SIMMONDSCredential: M.D.
Location Address1204 W MAIN ST FL 3Charlottesville, VA 22908-1147
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007 · (434) 295-1000 · Fax (434) 972-4266
Phone(434) 924-2500
Fax(434) 244-9487
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 19, 2008
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1184874778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in VA · 0101265892✔ Licensed in IN · 01087073A
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1204 W MAIN ST FL 3, Charlottesville, VA 22908
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Other Identifiers 1

Medicaid1184874778VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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. Lisa E Simmonds 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 ID6709922081
PECOS Enrollment IDI20090930000601
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

4

Medicare enrollment records show Lisa Simmonds reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
1.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Promedica Central Physicians
366 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
The Toledo Hospital
367 mi
Emergency Medicine
1075 MEDICAL CENTER PARKWAY
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1356015564 (567) 585-0800
Albany Medical College
405 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER SCOTT ENNEN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1204 W MAIN ST FL 3
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2500

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 Lisa Simmonds's NPI number?

The NPI number for Lisa Simmonds is 1184874778. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Lisa Simmonds located?

Lisa Simmonds practices at 1204 W Main St Fl 3, Charlottesville, VA 22908. The listed phone number is (434) 924-2500.

What is Lisa Simmonds's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Lisa Simmonds enrolled in Medicare?

Yes. Lisa 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 Lisa Simmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Simmonds reassigns Medicare benefits to 4 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Promedica Central Physicians (Toledo, OH), The Toledo Hospital (Maumee, OH) and Albany Medical College (Albany, NY). 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 Lisa Simmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Simmonds accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Priority Health list Lisa Simmonds 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 Lisa Simmonds affiliated with any hospitals?

According to CMS data, Lisa Simmonds is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Simmonds was last updated on February 1, 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.