BENJAMIN S. SIMMS NP
NPI 1437558913
Nurse Practitioner - Acute Care in Worcester, MA

Active since August 20, 2014PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
119 BELMONT ST, WORCESTER, MA 01605(508) 334-9764(508) 334-6052 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Dec 1, 2020, Jan 29, 2020 and 4 more (7 updates tracked since 2016).

About Benjamin S. Simms Np NPPES

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

BENJAMIN S. SIMMS NP (NPI 1437558913) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN2288790) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437558913
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBENJAMIN S. SIMMSCredential: NP
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-6052
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2014
Last NPPES UpdateOctober 31, 20227 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
NPI 1437558913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MA · RN2288790
Also ListedRegistered NurseTaxonomy 163W00000X · License RN53494 (RI), RN2288790 (MA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2288790 (MA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN01153 (RI)
119 BELMONT ST, Worcester, MA 01605

Secondary Practice Locations 3

Location 1133 Brookline AveBoston, MA 02215-3904 · Phone (617) 421-1000 · Fax (617) 421-3487
Location 265 Eddie Dowling HwyNorth Smithfield, RI 02896-7305 · Phone (401) 597-5353 · Fax (401) 769-2222
Location 31526 Atwood Ave Ste 200Johnston, RI 02919-3289 · Phone (401) 404-2975 · Fax (401) 404-2976

Other Identifiers 1

Medicaid110100820AMA

Accepted 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

Benjamin S. Simms Np 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 ID3476878547
PECOS Enrollment IDI20160513000344
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 4

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.
73 services69 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
49 services47 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.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 1437558913. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Where is Benjamin Simms located?

Benjamin Simms practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-9764.

What is Benjamin Simms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Benjamin Simms enrolled in Medicare?

Yes. Benjamin Simms 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 Benjamin Simms accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin Simms 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 Benjamin Simms affiliated with any hospitals?

According to CMS data, Benjamin Simms is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Benjamin Simms was last updated on October 31, 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.