WANDA J SIMMONS CLEMMONS MD
NPI 1275615775
Family Medicine - Adult Medicine in Baltimore, MD

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
6724 GLENKIRK RD, BALTIMORE, MD 21239(443) 900-3184(410) 433-2015 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wanda J Simmons Clemmons Md NPPES

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

WANDA J SIMMONS CLEMMONS MD (NPI 1275615775) is an individual adult medicine provider in Baltimore, Maryland, licensed in Maryland (D0035674) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1984).

NPPES Registry Identity

NPI1275615775
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameWANDA J SIMMONS CLEMMONSCredential: MD
Location Address6724 GLENKIRK RDBaltimore, MD 21239-1410
Mailing Address808 Gleneagles Ct # 20069Towson, MD 21286-2205 · (443) 900-3184 · Fax (512) 559-7040
Fax(410) 433-2015
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1984
Enumeration DateOctober 20, 2006
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
NPI 1275615775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in MD · D0035674
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License D0035674 (MD)
6724 GLENKIRK RD, Baltimore, MD 21239

Other Identifiers 2

Medicaid535071900MD
OtherD0035674MD · Medical License

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

Wanda J Simmons Clemmons 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 ID3779640420
PECOS Enrollment IDI20111118000316
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier23 claims23 services$6.31 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$34.54 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$11.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Doula
6724 GLENKIRK RD
BALTIMORE, MD 21239
Health and Wellness Coach
6724 GLENKIRK RD
BALTIMORE, MD 21239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275615775, enumerated as an "individual" on October 20, 2006.

The provider is located at 6724 GLENKIRK RD BALTIMORE, MD 21239 and the phone number is (443) 900-3184.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.