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DR. JON SIMMONS MD
NPI 1376715755
Surgery - Surgical Critical Care in Mobile, AL

Active since March 26, 2008PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101, MOBILE, AL 36617(251) 445-8282(251) 445-8281 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jon Simmons Md NPPES

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

DR. JON SIMMONS MD (NPI 1376715755) is an individual surgical critical care provider in Mobile, Alabama, licensed in Alabama (31054) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376715755
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JON SIMMONSCredential: MD
Location Address2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101Mobile, AL 36617-2300
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 434-3626 · Fax (251) 445-2464
Phone(251) 445-8282
Fax(251) 445-8281
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 26, 2008
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1376715755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in AL · 31054
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License T1975 (MS)
2451 UNIVERSITY HOSPITAL DRIVE, Mobile, AL 36617
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Other Identifiers 1

Medicaid08988788MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. Jon Simmons 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 ID345386363
PECOS Enrollment IDI20110912000402
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 5

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 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.
156 services92 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
99 services57 patients
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.
42 services33 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.
33 services33 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.
22 services22 patients

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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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.

PATRICK PARK PATTEN M.D.
Radiology (Vascular & Interventional Radiology)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102
MOBILE, AL 36617
Mobile County (251) 470-5890
HALEY BISHOP
Nurse Practitioner (Adult Health)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
TINSLEY PHILLIPS CHAVERS
Dietitian, Registered
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102
MOBILE, AL 36617
Mobile County (251) 470-5890
LAUREN CHYANN GRANTHAM DNP
Nurse Practitioner (Acute Care)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
CANDACE HUFFMASTER CRNP
Nurse Practitioner (Adult Health)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
VICTORIA BOYD PEARMAN
Internal Medicine
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 212
MOBILE, AL 36617
Mobile County (251) 471-7207
NATHAN MICHAEL POLITE D.O.
Surgery (Trauma Surgery)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
SABRINA G. BESSETTE M.D.
Internal Medicine (Nephrology)
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102
MOBILE, AL 36617
Mobile County (251) 470-5890

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 Jon Simmons's NPI number?

The NPI number for Jon Simmons is 1376715755. It was assigned to this individual provider in the NPPES registry on March 26, 2008.

Where is Jon Simmons located?

Jon Simmons practices at 2451 University Hospital Drive Mastin 101, Mobile, AL 36617. The listed phone number is (251) 445-8282.

What is Jon Simmons's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jon Simmons enrolled in Medicare?

Yes. Jon 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 Jon Simmons accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Jon 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.

When was this NPI record last updated?

The NPPES record for Jon Simmons was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.