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MICHAEL FRANCIS SIMMS III MD
NPI 1265458061
Internal Medicine - Infectious Disease in Waterbury, CT

Active since July 14, 2006PECOS Enrolled
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6402(203) 709-3049 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Francis Simms Iii Md NPPES

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

MICHAEL FRANCIS SIMMS III MD (NPI 1265458061) is an individual infectious disease provider in Waterbury, Connecticut, licensed in Connecticut (022954) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265458061
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMICHAEL FRANCIS SIMMS IIICredential: MD
Location Address56 FRANKLIN STWaterbury, CT 06706-1221
Mailing Address56 Franklin St, 3rd FloorWaterbury, CT 06706-1221 · (203) 709-8873 · Fax (203) 709-8689
Phone(203) 709-6402
Fax(203) 709-3049
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1265458061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CT · 022954
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
56 FRANKLIN ST, Waterbury, CT 06706
Open in Google Maps ↗

Other Identifiers 1

Medicaid001229542CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Francis Simms Iii Md 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 Michael Simms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity Health Of New England Provider Network Organization Inc
23 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

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 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

CHARIS WIPFLER
Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 709-6140
SHANZAY HAIDER M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8685
DENISSE BURGOS-JIMENEZ
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 989-6067
SYED FARHAN IQBAL RIZVI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8820
YAEL MARITZA CALLE
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (516) 993-0460
DR. JOSEPH D SCUDERI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
MAPLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (469) 401-2386
MIGUEL ANGEL BRAVO JR. MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

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 Michael Simms's NPI number?

The NPI number for Michael Simms is 1265458061. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Michael Simms located?

Michael Simms practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6402.

What is Michael Simms's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Simms enrolled in Medicare?

Yes. Michael Simms is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Simms reassigns Medicare benefits to Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). 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 Michael Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Simms accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Simms 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 Michael Simms was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.