TONY SIMMONS MD
NPI 1558348227
Internal Medicine - Clinical Cardiac Electrophysiology in Winston Salem, NC

Q: What is Tony Simmons's NPI number?

The NPI number for Tony Simmons is 1558348227. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Tony Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Tony Simmons was last updated on August 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 23, 2005PECOS EnrolledAccepts Medicare Assignment

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: August 18, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Tony Simmons Md NPPES

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

TONY SIMMONS MD (NPI 1558348227) is an individual clinical cardiac electrophysiology provider in Winston Salem, North Carolina, licensed in North Carolina (35753) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1979).

NPPES Registry Identity

NPI1558348227

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameTONY SIMMONSCredential: MD

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255

Phone(336) 716-2255

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1979

Enumeration DateDecember 23, 2005

Last NPPES UpdateAugust 18, 2017

✔ NPI 1558348227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in NC · 35753

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35753 (NC)

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Other Identifiers 11

Other47267Medcost

Medicaid8976311NC

Other2174435BNC · Medicare

Medicare UPINC03151

Medicaid6020040000WV

Other60067877Rr Medicare

Other4593492Aetna

MedicaidQ35753SC

Medicaid6015867VA

Other76311Bcbs

Other3705Partners

Accepted Insurance

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

Tony 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 ID5496880106

PECOS Enrollment IDI20100319000756

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 Reassignment

Medicare enrollment records show Tony Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences

0.1 mi

Multi-Specialty

MEDICAL CENTER BLVD
Winston Salem, NC 27157

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1003803032 (336) 716-2255

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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

4,981 services3,316 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

730 services703 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

200 services188 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

182 services89 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

179 services177 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.

120 services99 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

117 services58 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

109 services19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

101 services101 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.

90 services79 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

48 services48 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

36 services30 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

34 services34 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

24 services17 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

19 services19 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

19 services19 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

15 services15 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

High Point Regional Health System

Acute Care Hospitals · High Point, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340004

Location601 N Elm StHigh Point, NC 27261 · Guilford County

Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340064

Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County

Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340096

Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

CRAIG MICHAEL COMBS MD

Anesthesiology