ERIC G SIMMONS DPM
NPI 1487815684
Podiatrist - Primary Podiatric Medicine in Cary, NC

Q: What is Eric Simmons's NPI number?

The NPI number for Eric Simmons is 1487815684. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Eric Simmons's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Eric Simmons was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment

88.36/100

CMS Quality Rating

103 PARKWAY OFFICE CT STE 100, CARY, NC 27518(919) 481-3338(919) 467-2436 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2025, May 6, 2021, Mar 30, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Eric G Simmons Dpm NPPES

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

ERIC G SIMMONS DPM (NPI 1487815684) is an individual primary podiatric medicine provider in Cary, North Carolina, licensed in North Carolina (572) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1487815684

Entity TypeIndividualMale

Primary Taxonomy213EP1101X

Provider Legal NameERIC G SIMMONSCredential: DPM

Location Address103 PARKWAY OFFICE CT STE 100Cary, NC 27518-7429

Mailing AddressPo Box 825159Philadelphia, PA 19182-5159

Phone(919) 481-3338

Fax(919) 467-2436

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 19, 2008

Last NPPES UpdateFebruary 28, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1487815684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in NC · 572

Also ListedPodiatristTaxonomy 213E00000X · License 572 (NC)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 572 (NC)

103 PARKWAY OFFICE CT STE 100, Cary, NC 27518

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Eric G Simmons Dpm 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 ID749454171

PECOS Enrollment IDI20111122000321

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.

Medicare Billing Reassignments

Medicare enrollment records show Eric Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raleigh Orthopaedic Clinic PA

6.2 mi

Orthopaedic Surgery

3001 EDWARDS MILL RD, SUITE 200
Raleigh, NC 27612

Reassigned Medicare billing, North Carolina enrollment
114 clinicians in this Medicare group

NPI 1235137563 (919) 781-5600

Foot And Ankle Specialists Of The Mid-Atlantic, LLC

10 mi

Foot & Ankle Surgery

1004 DRESSER CT STE 102
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
72 clinicians in this Medicare group

NPI 1457976334 (919) 872-2022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

364 services138 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.

272 services211 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

204 services65 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

184 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

144 services144 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

121 services82 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

100 services38 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

89 services39 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

89 services35 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.

56 services46 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

45 services45 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

26 services22 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

26 services22 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.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 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.

88.36/100

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

Individually scored

Quality

80.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

100%26 patients5/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%2,208 patients5/55-star benchmark: 100%

e-Prescribing

98%641 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

99%1,145 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,222 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,196 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 81% · 2,171 patients

Patients screened: 83% · 2,171 patients

42%91 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

94%2,294 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

92%249 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,185 patients

Patients totalRate: 0% · 1,185 patients

0%1,185 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB A PANICI D.P.M.

Podiatrist (Primary Podiatric Medicine)

103 PARKWAY OFFICE CT STE 100
CARY, NC 27518

Wake County (919) 481-3338

DR. MICHAEL L TOMEY DPM

Podiatrist (Primary Podiatric Medicine)

103 PARKWAY OFFICE CT STE 100
CARY, NC 27518

Wake County (919) 481-3338

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Podiatrist

103 PARKWAY OFFICE CT STE 100
CARY, NC 27518

Wake County (919) 481-3338

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 Eric Simmons's NPI number?

The NPI number for Eric Simmons is 1487815684. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Eric Simmons located?

Eric Simmons practices at 103 Parkway Office Ct Ste 100, Cary, NC 27518. The listed phone number is (919) 481-3338.

What is Eric Simmons's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Eric Simmons enrolled in Medicare?

Yes. Eric 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 Eric Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Simmons reassigns Medicare benefits to 2 organizations: Raleigh Orthopaedic Clinic PA (Raleigh, NC) and Foot And Ankle Specialists Of The Mid-Atlantic, LLC (Raleigh, NC). 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 Eric Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Simmons accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Eric 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 Eric Simmons was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.