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ALETA SIMMONS M.D.
NPI 1366708745
Dermatology in Nashville, TN

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
6339 CHARLOTTE PIKE # 721, NASHVILLE, TN 37209(615) 437-5001(615) 919-9937 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 14, 2022, Oct 15, 2020, Apr 26, 2019 and 1 more (4 updates tracked since 2018).

About Aleta Simmons M.d. NPPES

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

ALETA SIMMONS M.D. (NPI 1366708745) is an individual dermatology provider in Nashville, Tennessee, licensed in Tennessee (58342) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1366708745
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameALETA SIMMONSCredential: M.D.
Location Address6339 CHARLOTTE PIKE # 721Nashville, TN 37209-2926
Mailing Address6339 Charlotte Pike # 712Nashville, TN 37209-2926 · (615) 437-5001 · Fax (615) 919-9937
Phone(615) 437-5001
Fax(615) 919-9937
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1366708745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TN · 58342
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6339 CHARLOTTE PIKE # 721, Nashville, TN 37209
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Secondary Practice Location 1

Location 1Vanderbilt University Dermatology, 719 Thompson Lane, Suite 26300Nashville, TN 37204 · Phone (615) 322-0845 · Fax (615) 343-3947

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company.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

Aleta Simmons 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.

PECOS PAC ID9133460116
PECOS Enrollment IDI20230327001923, I20240306000756
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services67 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
40 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
20 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37209 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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 Aleta Simmons's NPI number?

The NPI number for Aleta Simmons is 1366708745. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Aleta Simmons located?

Aleta Simmons practices at 6339 Charlotte Pike # 721, Nashville, TN 37209. The listed phone number is (615) 437-5001.

What is Aleta Simmons's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Aleta Simmons enrolled in Medicare?

Yes. Aleta 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 Aleta Simmons accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Oscar Insurance Company list Aleta 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 Aleta Simmons affiliated with any hospitals?

According to CMS data, Aleta Simmons is affiliated with Sanford Medical Center Fargo and Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Aleta Simmons was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.