DR. BARRY BRENT SIMMONS JR. M.D.
NPI 1336366467
Family Medicine in Philadelphia, PA
About Dr. Barry Brent Simmons Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BARRY BRENT SIMMONS JR. M.D. (NPI 1336366467) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD430472) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Barry Brent Simmons Jr. M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Barry Simmons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19130
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
Philadelphia, PA 19102
- Reassigned Medicare billing, Pennsylvania enrollment
- 335 clinicians in this Medicare group
Philadelphia, PA 19102
- Reassigned Medicare billing, Pennsylvania enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
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 Barry Simmons's NPI number?
The NPI number for Barry Simmons is 1336366467. It was assigned to this individual provider in the NPPES registry on April 19, 2007.
Where is Barry Simmons located?
Barry Simmons practices at 1412 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (215) 235-9600.
What is Barry Simmons's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Barry Simmons enrolled in Medicare?
Yes. Barry 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.
Which organizations bill Medicare for Barry Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Barry Simmons reassigns Medicare benefits to 3 organizations: Delaware Valley Community Health, Inc. (Philadelphia, PA), Drexel University (Philadelphia, PA) and Tower Drexel Academic Medical Group LLC (Philadelphia, PA). Each 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 Barry Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Barry Simmons accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Barry 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 Barry Simmons affiliated with any hospitals?
According to CMS data, Barry Simmons is affiliated with Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for Barry Simmons was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.
# Dr. Barry Brent Simmons Jr., M.D. · NPI 1336366467
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1336366467 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD430472 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1412 FAIRMOUNT AVE, Philadelphia, PA 19130-2908
- **Phone:** (215) 235-9600 · **Fax:** (215) 684-5360
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Delaware Valley Community Health, Inc. (NPI 1386864502, Philadelphia, PA); Drexel University (NPI 1154590933, Philadelphia, PA); Tower Drexel Academic Medical Group LLC (NPI 1811530512, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2004
## Record status
- **NPPES last updated:** September 22, 2026
- **Other identifiers:** Medicaid 1021380050020 (PA); Medicaid 1021380050019 (PA); Medicaid 1021380050017 (PA); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336366467) · Data from the CMS NPPES public registry.