1. Home
  2. Directory
  3. Arizona
  4. Chinle
  5. Pediatrics
  6. NPI Profile

BENJAMIN THOMAS SIMMS MD
NPI 1346635760
Pediatrics in Chinle, AZ

Active since April 02, 2015PECOS Enrolled
US 191, PO DRAWER PH, CHINLE, AZ 86503(928) 674-7001 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Benjamin Thomas Simms Md NPPES

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

BENJAMIN THOMAS SIMMS MD (NPI 1346635760) is an individual pediatrics provider in Chinle, Arizona, licensed in Washington (MD60844959) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346635760
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBENJAMIN THOMAS SIMMSCredential: MD
Location AddressUS 191, PO DRAWER PHChinle, AZ 86503
Mailing AddressPo Box 550Chinle, AZ 86503-0550 · (617) 388-8154
Phone(928) 674-7001
Sole ProprietorNo
Enumeration DateApril 2, 2015
Last NPPES UpdateSeptember 17, 2018
✔ NPI 1346635760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD60844959
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
US 191, Chinle, AZ 86503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Thomas Simms 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 Benjamin Simms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
115 mi
General Acute Care Hospital
OFF HWY 191 HOSPITAL ROAD
Chinle, AZ 86503
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1508800129 (928) 674-7001

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 86503 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

KELLY KATHERINE MENACHOF M.D.
Pediatrics
US 191, PO DRAWER PH
CHINLE, AZ 86503
Apache County (928) 674-7001

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 Benjamin Simms's NPI number?

The NPI number for Benjamin Simms is 1346635760. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Benjamin Simms located?

Benjamin Simms practices at Us 191 PO Drawer Ph, Chinle, AZ 86503. The listed phone number is (928) 674-7001.

What is Benjamin Simms's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Simms enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Simms reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Chinle, AZ). 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 Benjamin Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Simms was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.