MARTHA AYRE SIMMONS MD
NPI 1548522626
Family Medicine in Philadelphia, PA
About Martha Ayre Simmons Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA AYRE SIMMONS MD (NPI 1548522626) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD453911) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 1
Accepted 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
Martha Ayre 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.
Medicare Billing Reassignment
Medicare enrollment records show Martha Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phila, PA 19120
- Reassigned Medicare billing, Pennsylvania enrollment
- 289 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19141
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 Martha Simmons's NPI number?
The NPI number for Martha Simmons is 1548522626. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Martha Simmons located?
Martha Simmons practices at 5201 Old York Rd Ste 311, Philadelphia, PA 19141. The listed phone number is (215) 394-4195.
What is Martha Simmons's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Martha Simmons enrolled in Medicare?
Yes. Martha 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 organization bills Medicare for Martha Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martha Simmons reassigns Medicare benefits to Einstein Community Health Associates, Inc (Phila, PA). The 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 Martha Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martha Simmons accept?
Health plans from AmeriHealth Caritas Next list Martha 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 Martha Simmons affiliated with any hospitals?
According to CMS data, Martha Simmons is affiliated with Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for Martha Simmons was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Martha Ayre Simmons, MD · NPI 1548522626
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 13, 2012.
## Identity
- **NPI:** 1548522626 (Entity type: Individual)
- **Enumerated:** June 13, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD453911 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 OLD YORK RD STE 311, Philadelphia, PA 19141-2987
- **Phone:** (215) 394-4195 · **Fax:** (215) 457-4261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Einstein Community Health Associates, Inc (NPI 1558316109, Phila, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** June 14, 2022
- **Other identifiers:** Medicaid 103023979 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1548522626) · Data from the CMS NPPES public registry.