CARNETHA MATHEWS SIMMONS MD
NPI 1497886238
Psychiatry & Neurology - Psychiatry in Silver Spring, MD

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
8040 GEORGIA AVE STE 170, SILVER SPRING, MD 20910(202) 360-4787 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Jul 15, 2024, May 4, 2023 and 54 more (57 updates tracked since 2018).

About Carnetha Mathews Simmons Md NPPES

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

CARNETHA MATHEWS SIMMONS MD (NPI 1497886238) is an individual psychiatry provider in Silver Spring, Maryland, licensed in North Carolina (2011-01756) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2004).

NPPES Registry Identity

NPI1497886238
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCARNETHA MATHEWS SIMMONSCredential: MD
Location Address8040 GEORGIA AVE STE 170Silver Spring, MD 20910-4959
Mailing Address8040 Georgia Ave Ste 170Silver Spring, MD 20910-4959 · (202) 360-4787
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2004
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 7, 202457 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
NPI 1497886238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NC · 2011-01756
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 2011-01756 (NC)
8040 GEORGIA AVE STE 170, Silver Spring, MD 20910

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

Carnetha Mathews 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 ID2365624723
PECOS Enrollment IDI20111201000611, I20220531001946, I20220711003837
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20910 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Community/Behavioral Health
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Psychiatry & Neurology (Psychiatry)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Nurse Practitioner (Psychiatric/Mental Health)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Psychiatry & Neurology (Neurology)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Psychiatry & Neurology (Psychiatry)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Psychiatry & Neurology (Psychiatry)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Community/Behavioral Health
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910
Psychiatry & Neurology (Psychiatry)
8040 GEORGIA AVE STE 170
SILVER SPRING, MD 20910

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 Carnetha Simmons's NPI number?

The NPI number for Carnetha Simmons is 1497886238. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Carnetha Simmons located?

Carnetha Simmons practices at 8040 Georgia Ave Ste 170, Silver Spring, MD 20910. The listed phone number is (202) 360-4787.

What is Carnetha Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carnetha Simmons enrolled in Medicare?

Yes. Carnetha 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 Carnetha Simmons accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and Providence Health Plan and 1 other insurer list Carnetha 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 Carnetha Simmons was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.