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KEVIN JAMES SIMMONS M.D.
NPI 1255479887
Psychiatry & Neurology - Psychiatry in Sugar Land, TX

Active since February 03, 2007PECOS Enrolled
85.72/100
CMS Quality Rating
77 SUGAR CREEK CENTER BLVD STE 460, SUGAR LAND, TX 77478(877) 504-8504(855) 420-6402 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Aug 1, 2022, Apr 3, 2019 (3 updates tracked since 2019).

About Kevin James Simmons M.d. NPPES

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

KEVIN JAMES SIMMONS M.D. (NPI 1255479887) is an individual psychiatry provider in Sugar Land, Texas, licensed in Texas (M5508) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255479887
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKEVIN JAMES SIMMONSCredential: M.D.
Location Address77 SUGAR CREEK CENTER BLVD STE 460Sugar Land, TX 77478-3786
Mailing Address3634 Glenn Lakes Ln Ste 200Missouri City, TX 77459-4185 · (281) 849-8079 · Fax (832) 529-3246
Phone(877) 504-8504
Fax(855) 420-6402
Sole ProprietorYes
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1255479887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · M5508
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License M5508 (TX)
77 SUGAR CREEK CENTER BLVD STE 460, Sugar Land, TX 77478
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13634 Glenn Lakes Ln Ste 200Missouri City, TX 77459-4185 · Phone (281) 849-8079 · Fax (832) 529-3246
Location 29401 Southwest FwyHouston, TX 77074-1407 · Phone (713) 970-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin James Simmons M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Harris Center For Mental Health And Idd
5.7 mi
Community/Behavioral Health
9401 SOUTHWEST FWY
Houston, TX 77074
  • Reassigned Medicare billing, Texas enrollment
  • 232 clinicians in this Medicare group
NPI 1346293156 (713) 970-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

85.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.73
Improvement Activities40
Cost87.58

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.

MRS. OYINLOLA OLUDIRAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
77 SUGAR CREEK CENTER BLVD STE 460
SUGAR LAND, TX 77478
Fort Bend County (855) 501-1004
DR. ASHUTOSH ATRI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
77 SUGAR CREEK CENTER BLVD STE 460
SUGAR LAND, TX 77478
Fort Bend County (877) 504-8504

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 Kevin Simmons's NPI number?

The NPI number for Kevin Simmons is 1255479887. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Kevin Simmons located?

Kevin Simmons practices at 77 Sugar Creek Center Blvd Ste 460, Sugar Land, TX 77478. The listed phone number is (877) 504-8504.

What is Kevin Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kevin Simmons enrolled in Medicare?

Yes. Kevin Simmons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Simmons reassigns Medicare benefits to The Harris Center For Mental Health And Idd (Houston, TX). The 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 Kevin Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Simmons accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Simmons was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.