DR. PAUL IRWIN SIMMONS MD
NPI 1467443341
Internal Medicine in Boston, MA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
50 STANIFORD ST, 3RD FLOOR S50 3 300 MASS GENERAL MEDICAL GROUP, BOSTON, MA 02114(617) 724-8059(617) 724-8067 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Irwin Simmons Md NPPES

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

DR. PAUL IRWIN SIMMONS MD (NPI 1467443341) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (224030) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1467443341
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL IRWIN SIMMONSCredential: MD
Location Address50 STANIFORD ST, 3RD FLOOR S50 3 300 MASS GENERAL MEDICAL GROUPBoston, MA 02114-2517
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 726-4077 · Fax (617) 724-8067
Fax(617) 724-8067
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 30, 2012
NPI 1467443341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 224030
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 STANIFORD ST, Boston, MA 02114

Other Identifiers 5

OtherJ28578MA · Bcbs Ma
Other468381MA · Tufts Health Plan
Medicare ID-Type UnspecifiedA38544MA
Medicaid2101840MA
Medicare UPINH32382

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

Dr. Paul Irwin 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 ID6507802972
PECOS Enrollment IDI20231023000973
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.

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.
272 services229 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.
74 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
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.
49 services46 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims34 services$5.79 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$63.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
50 STANIFORD ST
BOSTON, MA 02114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 STANIFORD ST, SUITE 340
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
50 STANIFORD ST, SUITE 401 S50 401
BOSTON, MA 02114
Pathology (Clinical Pathology/Laboratory Medicine)
50 STANIFORD ST, 3RD FLOOR S50 3 DIABETES UNIT
BOSTON, MA 02114
Optometrist
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Ophthalmology
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Clinic/Center (Dental)
50 STANIFORD ST
BOSTON, MA 02114
Dermatology
50 STANIFORD ST, SUITE 200
BOSTON, MA 02114

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 Paul Simmons's NPI number?

The NPI number for Paul Simmons is 1467443341. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Paul Simmons located?

Paul Simmons practices at 50 Staniford St 3rd Floor S50 3 300 Mass General Medical Group, Boston, MA 02114. The listed phone number is (617) 724-8059.

What is Paul Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Simmons enrolled in Medicare?

Yes. Paul 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 Paul Simmons accept?

Health plans from Ambetter from NH Healthy Families and WellSense Health Plan list Paul 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 Paul Simmons affiliated with any hospitals?

According to CMS data, Paul Simmons is affiliated with Concord Hospital- Laconia.

When was this NPI record last updated?

The NPPES record for Paul Simmons was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.