DR. STEVEN PARKER SIMMONS M.D.
NPI 1194854877
Internal Medicine in Vienna, VA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
360 MAPLE AVE W STE E, VIENNA, VA 22180(703) 938-4604(703) 938-4618 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Steven Parker Simmons M.d. NPPES

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

DR. STEVEN PARKER SIMMONS M.D. (NPI 1194854877) is an individual internal medicine provider in Vienna, Virginia, licensed in Virginia (0101058238) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1194854877
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEVEN PARKER SIMMONSCredential: M.D.
Location Address360 MAPLE AVE W STE EVienna, VA 22180-5614
Mailing Address360 Maple Ave W Ste EVienna, VA 22180-5614 · (703) 938-4604 · Fax (703) 938-4618
Fax(703) 938-4618
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 30, 2009
NPI 1194854877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101058238
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

360 MAPLE AVE W STE E, Vienna, VA 22180

Other Identifiers 2

Medicare UPING30607
Medicare ID-Type Unspecified014064K92

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

Dr. Steven Parker 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 ID7719960582
PECOS Enrollment IDI20040611000607
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,200 services357 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
450 services373 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
299 services148 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
137 services127 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
106 services77 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
79 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22180 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
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims540 services$7.14 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims450 services$3.25 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers39 claims39 services$37.88 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers24 claims24 services$7.09 avg. paid by Medicare
Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
2 suppliers22 claims22 services$145.78 avg. paid by Medicare
Powered air flotation bed (low air loss therapy) E0193
DME-Other DME · category DE000N
1 supplier11 claims11 services$406.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Steven Simmons's NPI number?

The NPI number for Steven Simmons is 1194854877. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Steven Simmons located?

Steven Simmons practices at 360 Maple Ave W Ste E, Vienna, VA 22180. The listed phone number is (703) 938-4604.

What is Steven Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Steven Simmons enrolled in Medicare?

Yes. Steven 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.

When was this NPI record last updated?

The NPPES record for Steven Simmons was last updated on November 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.