GARY EDWARD SIMMONS M.D.
NPI 1265438691
Radiology - Diagnostic Radiology in Lubbock, TX

Active since June 21, 2005PECOS Enrolled
93.65/100
CMS Quality Rating
4005 24TH ST, LUBBOCK, TX 79410(806) 792-2767(888) 861-8858 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2022, Feb 15, 2022, Nov 3, 2021 (3 updates tracked since 2021).

About Gary Edward Simmons M.d. NPPES

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

GARY EDWARD SIMMONS M.D. (NPI 1265438691) is an individual diagnostic radiology provider in Lubbock, Texas, licensed in Texas (L1748) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Health Hobbs Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265438691
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGARY EDWARD SIMMONSCredential: M.D.
Location Address4005 24TH STLubbock, TX 79410-1835
Mailing Address816 W Cannon StFort Worth, TX 76104-3194 · (817) 321-0404
Fax(888) 861-8858
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1987
Enumeration DateJune 21, 2005
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1265438691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · L1748
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License L1748 (TX)
4005 24TH ST, Lubbock, TX 79410

Secondary Practice Locations 3

Location 1815 Pennsylvania AveFort Worth, TX 76104-2294 · Phone (817) 321-0404
Location 21429 Clear Lake Rd Ste 400Weatherford, TX 76086-8803 · Phone (817) 321-0404
Location 317980 Dallas Pkwy Ste 200Dallas, TX 75287-6817 · Phone (817) 321-0404

Other Identifiers 6

Other1236695First Health
Medicaid26050561NM
Other8G1350TX · Blue Cross
Medicaid151630401TX
Other300132403Railroad Medicare
Other128599100TX · Firstcare

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 (PECOS)

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

PECOS PAC ID4385696855
PECOS Enrollment IDI20050211000799
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 78

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
721 services471 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
573 services573 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
572 services572 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
147 services146 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
143 services139 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
139 services139 patients

Hospital Affiliations CMS Care Compare 5

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

Covenant Health Hobbs Hospital

Acute Care Hospitals · Hobbs, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320065
Location4900 N Lovington HighwayHobbs, NM 88240 · Lea County
Emergency services

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453306
Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410
Radiology (Diagnostic Radiology)
4005 24TH ST
LUBBOCK, TX 79410

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 Gary Simmons's NPI number?

The NPI number for Gary Simmons is 1265438691. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Gary Simmons located?

Gary Simmons practices at 4005 24th St, Lubbock, TX 79410. The listed phone number is (806) 792-2767.

What is Gary Simmons's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gary Simmons enrolled in Medicare?

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

What insurance does Gary Simmons accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Gary 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 Gary Simmons affiliated with any hospitals?

According to CMS data, Gary Simmons is affiliated with Covenant Health Hobbs Hospital, Covenant Medical Center, University Medical Center, The University Of Texas Health Science Center At Tyler and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Gary Simmons was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.