PETER SIMMONS MD
NPI 1265636575
Radiology - Diagnostic Radiology in Lafayette, IN

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1411 S CREASY LN, SUITE 130, LAFAYETTE, IN 47905(765) 447-7447(765) 447-1767 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Simmons Md NPPES

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

PETER SIMMONS MD (NPI 1265636575) is an individual diagnostic radiology provider in Lafayette, Indiana, licensed in Indiana (01067700A) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1265636575
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePETER SIMMONSCredential: MD
Location Address1411 S CREASY LN, SUITE 130Lafayette, IN 47905-7438
Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 449-1196
Fax(765) 447-1767
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateJune 12, 2007
Last NPPES UpdateJune 15, 2020
NPPES CertifiedJune 15, 2020
NPI 1265636575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IN · 01067700A Licensed in CA · A99981
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1411 S CREASY LN, Lafayette, IN 47905

Other Identifiers 2

Medicaid200973600IN
Medicaid00A999810CA

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

Peter 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 ID4688775885
PECOS Enrollment IDI20100429001052
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 49

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
23,747 services248 patients
Injection, gadobenate dimeglumine (multihance), per ml A9577
Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.
210 services14 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
187 services164 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
179 services176 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
151 services125 patients
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085
A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.
145 services145 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
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.

Registered Nurse
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physician Assistant (Surgical)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Orthopaedic Surgery
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Clinic/Center (Ambulatory Surgical)
1411 S CREASY LN, SUITE 200
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapy Assistant
1411 S CREASY LN, STE 100
LAFAYETTE, IN 47905

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 Peter Simmons's NPI number?

The NPI number for Peter Simmons is 1265636575. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Peter Simmons located?

Peter Simmons practices at 1411 S Creasy Ln Suite 130, Lafayette, IN 47905. The listed phone number is (765) 447-7447.

What is Peter Simmons's specialty?

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

Is Peter Simmons enrolled in Medicare?

Yes. Peter 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 Peter Simmons accept?

Health plans from CareSource list Peter 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 Peter Simmons affiliated with any hospitals?

According to CMS data, Peter Simmons is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital, Ascension St Vincent Anderson, Ascension St Vincent Carmel and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Peter Simmons was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.