JERALD HOWARD SIMMONS MD
NPI 1417045329
Psychiatry & Neurology - Sleep Medicine in Houston, TX

Q: What is Jerald Simmons's NPI number?

The NPI number for Jerald Simmons is 1417045329. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Jerald Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Q: When was this NPI record last updated?

The NPPES record for Jerald Simmons was last updated on August 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2201 W HOLCOMBE BLVD, STE 325, HOUSTON, TX 77030(713) 668-4100(713) 668-4105 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jerald Howard Simmons Md NPPES

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

JERALD HOWARD SIMMONS MD (NPI 1417045329) is an individual sleep medicine provider in Houston, Texas, licensed in Texas (K7614) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1986).

NPPES Registry Identity

NPI1417045329

Entity TypeIndividualMale

Primary Taxonomy2084S0012X

Provider Legal NameJERALD HOWARD SIMMONSCredential: MD

Location Address2201 W HOLCOMBE BLVD, STE 325Houston, TX 77030-2096

Mailing AddressPo Box 16820Sugar Land, TX 77496-6820 · (281) 240-3773 · Fax (281) 239-6268

Phone(713) 668-4100

Fax(713) 668-4105

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1986

Enumeration DateOctober 10, 2006

Last NPPES UpdateAugust 24, 2015

✔ NPI 1417045329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084S0012X

License✔ Licensed in TX · K7614

Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License K7614 (TX)

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License K7614 (TX)

2201 W HOLCOMBE BLVD, Houston, TX 77030

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Other Identifiers 4

Medicare PIN88V292TX

Medicare UPIND83437TX

Medicaid047090801TX

Medicare PIN130019874GA

Accepted Insurance

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

Jerald Howard 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 ID345281945

PECOS Enrollment IDI20090324000411

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 17

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.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

2,318 services640 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

454 services66 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

123 services118 patients

Therapy procedure using a positive pressure ventilator 94660

A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.

116 services104 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

103 services92 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

99 services52 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

86 services86 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

68 services48 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 patients

Measurement of brain wave activity (eeg), continuous 95700

Measurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.

39 services33 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with continuous monitoring 95716

This procedure, called Video EEG, records brain wave activity for 12-26 hours. It involves wearing electrodes on your head while a video monitors your behavior. This helps identify any unusual brain activity or seizures. It's a safe, non-invasive test.

39 services33 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

39 services33 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

38 services27 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

33 services31 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

33 services31 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

21 services21 patients

Sleep study, multiple trials 95805

A sleep study, or polysomnography, involves multiple trials to monitor your sleep patterns. It records brain waves, oxygen levels, heart rate, and movement. It helps diagnose sleep disorders like sleep apnea, insomnia, or restless legs syndrome.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604