DR. MATTHEW EDWARD SIMMONS M.D.
NPI 1396942223
Internal Medicine - Infectious Disease in Cumberland, MD
About Dr. Matthew Edward Simmons M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW EDWARD SIMMONS M.D. (NPI 1396942223) is an individual infectious disease provider in Cumberland, Maryland, licensed in Maryland (D90498) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
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. Matthew Edward 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.
Medicare Billing Reassignments
4Medicare enrollment records show Matthew Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 210 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 318 clinicians in this Medicare group
Keyser, WV 26726
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: Potomac Valley Hospital Of W Va, Inc
- Also billed through NPI 1912979873 (West Virginia)
- 147 clinicians in this Medicare group
Grantsville, MD 21536
- Reassigned Medicare billing, Maryland enrollment
- 120 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garrett Regional Medical Center
Acute Care Hospitals · Oakland, MDWestern Maryland Regional Medical Center
Acute Care Hospitals · Cumberland, MDPotomac Valley Hospital
Critical Access Hospitals · Keyser, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
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 Matthew Simmons's NPI number?
The NPI number for Matthew Simmons is 1396942223. It was assigned to this individual provider in the NPPES registry on July 3, 2007.
Where is Matthew Simmons located?
Matthew Simmons practices at 12502 Willowbrook Rd Ste 400, Cumberland, MD 21502. The listed phone number is (240) 964-8913.
What is Matthew Simmons's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Matthew Simmons enrolled in Medicare?
Yes. Matthew 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 Matthew Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Simmons reassigns Medicare benefits to 4 organizations: Upmc Western Maryland Corporation (Cumberland, MD), Upmc Western Maryland Health Services, LLC (Cumberland, MD), Potomac Valley Hospital Of Wv, Inc. (Keyser, WV) and Specialty Physicians Of Garrett County, LLC (Grantsville, MD). 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 Matthew Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Simmons accept?
Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Matthew 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 Matthew Simmons affiliated with any hospitals?
According to CMS data, Matthew Simmons is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center and Potomac Valley Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Simmons was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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. Matthew Edward Simmons, M.D. · NPI 1396942223
Infectious Disease physician in Cumberland, Maryland. Individual provider, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1396942223 (Entity type: Individual)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** D90498 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 12502 WILLOWBROOK RD STE 400, Cumberland, MD 21502-6567
- **Phone:** (240) 964-8913 · **Fax:** (240) 964-8911
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Upmc Western Maryland Corporation (NPI 1285779884, Cumberland, MD); Upmc Western Maryland Health Services, LLC (NPI 1134844764, Cumberland, MD); Potomac Valley Hospital Of Wv, Inc. (NPI 1578305256, Keyser, WV); Specialty Physicians Of Garrett County, LLC (NPI 1881361442, Grantsville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396942223) · Data from the CMS NPPES public registry.