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JOHN M SIMMONS IV MD
NPI 1316444706
Internal Medicine in North Charleston, SC

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406(843) 797-7000 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, Mar 24, 2021, Apr 11, 2018 (3 updates tracked since 2018).

About John M Simmons Iv Md NPPES

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

JOHN M SIMMONS IV MD (NPI 1316444706) is an individual internal medicine provider in North Charleston, South Carolina, licensed in Alabama (MD38945) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Florida State University College Of Medicine (2018).

NPPES Registry Identity

NPI1316444706
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN M SIMMONS IVCredential: MD
Location Address9330 MEDICAL PLAZA DRNorth Charleston, SC 29406-9104
Mailing Address9330 Medical Plaza DrNorth Charleston, SC 29406-9104 · (843) 797-7000
Phone(843) 797-7000
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2018
Enumeration DateApril 11, 2018
Last NPPES UpdateSeptember 14, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1316444706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD38945
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9330 MEDICAL PLAZA DR, North Charleston, SC 29406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

John M Simmons Iv 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 ID7517363765
PECOS Enrollment IDI20210914000356
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
394 services153 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
183 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
95 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services87 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services44 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services41 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.82 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD DALE BRINSON MSN, APRN, NP-C
Nurse Practitioner (Acute Care)
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 847-4595
DR. DARRYL EDWARD MCFARLAND MD
Internal Medicine (Critical Care Medicine)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 797-7000
ROSSEN IVANOV KIRKOV MD
Emergency Medicine
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 797-7000
MORGAN ELISABETH HUNT
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. ALLISON LUNDY MCCRAE MD
Surgery
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. SARAH MARESCA PT, DPT
Physical Therapist
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. VINCENT PAUL GRZYWACZ II MD
Radiology (Radiation Oncology)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 847-4571
MISBHA ANJUM MD
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 847-5620

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 John Simmons's NPI number?

The NPI number for John Simmons is 1316444706. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is John Simmons located?

John Simmons practices at 9330 Medical Plaza Dr, North Charleston, SC 29406. The listed phone number is (843) 797-7000.

What is John Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Simmons enrolled in Medicare?

Yes. John 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 John Simmons accept?

Health plans from BlueCross BlueShield of South Carolina list John 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 John Simmons affiliated with any hospitals?

According to CMS data, John Simmons is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for John Simmons was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.