MARTHA AYRE SIMMONS MD
NPI 1548522626
Family Medicine in Philadelphia, PA

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
5201 OLD YORK RD STE 311, PHILADELPHIA, PA 19141(215) 394-4195(215) 457-4261 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1548522626
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARTHA AYRE SIMMONSCredential: MD
Location Address5201 OLD YORK RD STE 311Philadelphia, PA 19141-2987
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-1825 · Fax (215) 456-5926
Fax(215) 457-4261
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1548522626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD453911✔ Licensed in PA · MD453922✔ Licensed in NY · 280037-1✔ Licensed in PA · MT202350✔ Licensed in DE · C1-0012585
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5201 OLD YORK RD STE 311, Philadelphia, PA 19141

Secondary Practice Locations 4

Location 1140 E Delaware AveNewark, DE 19711-4649 · Phone (302) 731-7801
Location 21824 Madison AveNew York, NY 10035-3832 · Phone (212) 423-4500 · Fax (212) 423-1417
Location 3805 S Governors AveDover, DE 19904-4158 · Phone (302) 678-5200
Location 4625 N Shipley StWilmington, DE 19801 · Phone (302) 655-7296

Other Identifiers 1

Medicaid103023979PA

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

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.

PECOS PAC ID9931411964
PECOS Enrollment IDI20150706001726
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 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.

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.
37 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services20 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.
20 services13 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
5201 OLD YORK RD STE 311
PHILADELPHIA, PA 19141
Family Medicine
5201 OLD YORK RD STE 311
PHILADELPHIA, PA 19141
Family Medicine
5201 OLD YORK RD STE 311
PHILADELPHIA, PA 19141
Family Medicine
5201 OLD YORK RD STE 311
PHILADELPHIA, PA 19141
Family Medicine
5201 OLD YORK RD STE 311
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5201 OLD YORK RD STE 311
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.

What insurance does Martha Simmons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and 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.