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ZACHARY LEE SIMMONS MD
NPI 1194976548
Surgery in Troy, OH

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
78.37/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, STE 214, TROY, OH 45373(937) 332-8777(937) 332-8773 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Lee Simmons Md NPPES

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

ZACHARY LEE SIMMONS MD (NPI 1194976548) is an individual surgery provider in Troy, Ohio, licensed in Ohio (35.095832) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Loma Linda University School Of Medicine (2008).

NPPES Registry Identity

NPI1194976548
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameZACHARY LEE SIMMONSCredential: MD
Location Address3130 N COUNTY ROAD 25A, STE 214Troy, OH 45373-1337
Mailing Address3130 N County Road 25a, Ste 214Troy, OH 45373-1337 · (937) 332-8777 · Fax (937) 332-8773
Phone(937) 332-8777
Fax(937) 332-8773
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2008
Enumeration DateOctober 3, 2008
Last NPPES UpdateApril 25, 2017
✔ NPI 1194976548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.095832
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3130 N COUNTY ROAD 25A, Troy, OH 45373
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Other Identifiers 2

Medicare PINH214000OH
Medicaid0087319OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Zachary Lee Simmons 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 ID8022259621
PECOS Enrollment IDI20130724000465
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 9

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services11 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.63
Promoting Interoperability100
Improvement Activities40
Cost52.29

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%45 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%66 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%76 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
75%32 patients4/55-star benchmark: 98%
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.

CHRISTINE L ASHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7626
SARAH JONES ACNS-BC, AOCNS
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Miami County (937) 440-4827
SUSAN BETH GRAU MD
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4466
MRS. KARA SUE BRUSKOTTER CNP
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 638-8176
CHARLES N SMITH CRNA
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (614) 459-7830
MARK COOPER LSW
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7001
UPPER VALLEY MEDICAL CENTER
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7979
BRIAN ALLEN HAYNES PHARMD
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4760

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 Zachary Simmons's NPI number?

The NPI number for Zachary Simmons is 1194976548. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Zachary Simmons located?

Zachary Simmons practices at 3130 N County Road 25A Ste 214, Troy, OH 45373. The listed phone number is (937) 332-8777.

What is Zachary Simmons's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Zachary Simmons enrolled in Medicare?

Yes. Zachary 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 Zachary Simmons accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Zachary 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 Zachary Simmons affiliated with any hospitals?

According to CMS data, Zachary Simmons is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Simmons was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.