DR. CHARLES STERLING SIMMONS M. D.
NPI 1518004142
Emergency Medicine - Undersea and Hyperbaric Medicine in Monroe, LA

Q: What is Charles Simmons's NPI number?

The NPI number for Charles Simmons is 1518004142. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Charles Simmons's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Q: When was this NPI record last updated?

The NPPES record for Charles Simmons was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment

87.17/100

CMS Quality Rating

309 JACKSON ST, MONROE, LA 71201(318) 966-1870(318) 966-1871 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles Sterling Simmons M. D. NPPES

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

DR. CHARLES STERLING SIMMONS M. D. (NPI 1518004142) is an individual undersea and hyperbaric medicine provider in Monroe, Louisiana, licensed in Louisiana (MD.017598) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1983).

NPPES Registry Identity

NPI1518004142

Entity TypeIndividualMale

Primary Taxonomy207PE0005X

Provider Legal NameDR. CHARLES STERLING SIMMONSCredential: M. D.

Location Address309 JACKSON STMonroe, LA 71201-0309

Mailing Address2308 Hillside RdRuston, LA 71270-5980 · (318) 966-1870 · Fax (318) 966-1871

Phone(318) 966-1870

Fax(318) 966-1871

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1983

Enumeration DateJanuary 31, 2007

Last NPPES UpdateApril 16, 2015

✔ NPI 1518004142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PE0005X

License✔ Licensed in LA · MD.017598

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

309 JACKSON ST, Monroe, LA 71201

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Other Identifiers 6

Medicare ID-Type Unspecified4K003LA

Other204405427LA · Tricare

Medicaid1339172LA

Medicare UPINC67290LA

Other00113057LA · Office Of Group Benefits

Medicaid1339174LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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. Charles Sterling Simmons M. D. 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 ID648293704

PECOS Enrollment IDI20060104000771

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 10

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.

X-ray of part of lower jaw, 1-4 views 70100

An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.

384 services360 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

384 services360 patients

X-ray of soft tissue of neck 70360

An X-ray of the soft tissue of the neck is a non-invasive imaging test that helps visualize the tissues and structures in your neck area. It can detect issues like infections, tumors, or injuries. It involves exposure to a small amount of radiation and usually takes a few minutes.

383 services359 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

382 services359 patients

Single contrast x-ray of upper digestive tract 74240

A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.

343 services323 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

212 services198 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

87.17/100

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

Individually scored

Quality

54.35

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

93%747 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%528 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

92%654 patients4/55-star benchmark: 98%

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

Patients screened: 97% · 140 patients

97%140 patients

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.

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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.

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