DR. GEMA T SIMMONS MD
NPI 1205980893
Obstetrics & Gynecology in Omaha, NE

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
16910 MARCY ST STE 200, OMAHA, NE 68118(402) 697-7200(402) 697-7282 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gema T Simmons Md NPPES

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

DR. GEMA T SIMMONS MD (NPI 1205980893) is an individual obstetrics & gynecology provider in Omaha, Nebraska, licensed in Nebraska (22028) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Chi Health Lakeside, and is a graduate of University Of Missouri, Columbia School Of Medicine (1998).

NPPES Registry Identity

NPI1205980893
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. GEMA T SIMMONSCredential: MD
Location Address16910 MARCY ST STE 200Omaha, NE 68118-2704
Mailing Address16910 Marcy St Ste 200Omaha, NE 68118-2704 · (402) 697-7200 · Fax (402) 697-7282
Fax(402) 697-7282
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1998
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
NPI 1205980893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NE · 22028
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

16910 MARCY ST STE 200, Omaha, NE 68118

Other Identifiers 2

Medicaid0551192IA
Other35944NE · Bcbs Id

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

Dr. Gema T 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 ID4789628702
PECOS Enrollment IDI20110708000060
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

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.

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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 9

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

Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Obstetrics & Gynecology
16910 MARCY ST STE 200
OMAHA, NE 68118
Nurse Practitioner (Women's Health)
16910 MARCY ST STE 200
OMAHA, NE 68118
Nurse Practitioner (Women's Health)
16910 MARCY ST STE 200
OMAHA, NE 68118

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 Gema Simmons's NPI number?

The NPI number for Gema Simmons is 1205980893. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Gema Simmons located?

Gema Simmons practices at 16910 Marcy St Ste 200, Omaha, NE 68118. The listed phone number is (402) 697-7200.

What is Gema Simmons's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gema Simmons enrolled in Medicare?

Yes. Gema 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 Gema Simmons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Gema 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 Gema Simmons affiliated with any hospitals?

According to CMS data, Gema Simmons is affiliated with Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Gema Simmons was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.