BYRON H SIMMONS MD
NPI 1225060346
Pathology - Anatomic Pathology & Clinical Pathology in Maplewood, MN

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
2945 HAZELWOOD ST STE 310, MAPLEWOOD, MN 55109(651) 264-1500(651) 264-1646 Get Directions Write a Review

NPPES record last updated: October 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Byron H Simmons Md NPPES

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

BYRON H SIMMONS MD (NPI 1225060346) is an individual anatomic pathology & clinical pathology provider in Maplewood, Minnesota, licensed in Minnesota (48318) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1225060346
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameBYRON H SIMMONSCredential: MD
Location Address2945 HAZELWOOD ST STE 310Maplewood, MN 55109-1241
Mailing Address2945 Hazelwood St Ste 310Maplewood, MN 55109-1241 · (651) 264-1500 · Fax (651) 264-1646
Fax(651) 264-1646
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1992
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 14, 2018
NPI 1225060346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MN · 48318
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2945 HAZELWOOD ST STE 310, Maplewood, MN 55109

Secondary Practice Location 1

Location 11875 Woodwinds Drive, Suite 220Woodbury, MN 55125-2298 · Phone (651) 264-1500 · Fax (651) 264-1646

Other Identifiers 3

Medicaid386950400MN
Medicaid191813300MN
Medicaid099565700MN

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

Byron H 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 ID6709800402
PECOS Enrollment IDI20060120000622
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 20

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
551 services94 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
229 services176 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
149 services111 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
76 services51 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
72 services38 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
70 services27 patients

Hospital Affiliations CMS Care Compare 5

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES 2

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

Pathology (Anatomic Pathology & Clinical Pathology)
2945 HAZELWOOD ST STE 310
MAPLEWOOD, MN 55109
Pathology (Anatomic Pathology & Clinical Pathology)
2945 HAZELWOOD ST STE 310
MAPLEWOOD, MN 55109

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 Byron Simmons's NPI number?

The NPI number for Byron Simmons is 1225060346. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Byron Simmons located?

Byron Simmons practices at 2945 Hazelwood St Ste 310, Maplewood, MN 55109. The listed phone number is (651) 264-1500.

What is Byron Simmons's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Byron Simmons enrolled in Medicare?

Yes. Byron 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 Byron Simmons accept?

Health plans from Medica and Sanford Health Plan list Byron 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 Byron Simmons affiliated with any hospitals?

According to CMS data, Byron Simmons is affiliated with M Health Fairview Southdale Hospital, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Byron Simmons was last updated on October 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.