BYRON H SIMMONS MD
NPI 1225060346
Pathology - Anatomic Pathology & Clinical Pathology in Maplewood, MN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted 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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Byron Simmons reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 7 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician 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.
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.
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.
MAPLEWOOD, MN 55109
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.
Which organizations bill Medicare for Byron Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Byron Simmons reassigns Medicare benefits to 9 organizations: Central Regional Pathology Laboratories PA (Maplewood, MN), Healtheast Medical Research Institute (Maplewood, MN), Healtheast St. John's Hospital (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Clinics (Saint Paul, MN) and 4 more organizations, listed in the Medicare section above. 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 Byron Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Byron Simmons accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Byron H Simmons, MD · NPI 1225060346
Anatomic Pathology & Clinical Pathology physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1225060346 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 48318 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2945 HAZELWOOD ST STE 310, Maplewood, MN 55109-1241
- **Phone:** (651) 264-1500 · **Fax:** (651) 264-1646
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Central Regional Pathology Laboratories PA (NPI 1609827484, Maplewood, MN); Healtheast Medical Research Institute (NPI 1073569943, Maplewood, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Fairview Express Care (NPI 1902311210, Maplewood, MN); Fairview Clinics (NPI 1124652557, Saint Paul, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Js Weill Medical College, Cornell University, class of 1992
## Record status
- **NPPES last updated:** October 14, 2018
- **Other identifiers:** Medicaid 386950400 (MN); Medicaid 191813300 (MN); Medicaid 099565700 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1225060346) · Data from the CMS NPPES public registry.