NEAL SIMMONS MD
NPI 1578540647
Radiology - Diagnostic Radiology in Riverdale, GA

Q: What is Neal Simmons's NPI number?

The NPI number for Neal Simmons is 1578540647. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: Where is Neal Simmons located?

Neal Simmons practices at 11 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 991-8000.

Q: What is Neal Simmons's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: Is Neal Simmons enrolled in Medicare?

Yes. Neal 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.

Q: Which organizations bill Medicare for Neal Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neal Simmons reassigns Medicare benefits to 4 organizations: Henry County Radiology Associates (Stockbridge, GA), Radiology Associates Of Macon PC (Macon, GA), Central Georgia Mri LLC (Macon, GA) and Georgia Magnetic Imaging Center Ltd (Macon, GA). Each 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 Neal Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Neal Simmons accept?

Health plans from Oscar Insurance Company list Neal 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.

Q: Is Neal Simmons affiliated with any hospitals?

According to CMS data, Neal Simmons is affiliated with Navicent Health Baldwin, Coliseum Medical Centers, LLC, Dba, Piedmont Macon North Hospital and Atrium Health Navicent Peach.

Q: When was this NPI record last updated?

The NPPES record for Neal Simmons was last updated on May 5, 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 29, 2005PECOS EnrolledAccepts Medicare Assignment

11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 991-8000 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Neal Simmons Md NPPES

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

NEAL SIMMONS MD (NPI 1578540647) is an individual diagnostic radiology provider in Riverdale, Georgia, licensed in Georgia (026649) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Navicent Health Baldwin, and is a graduate of Medical College Of Georgia School Of Medicine (1983).

NPPES Registry Identity

NPI1578540647

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameNEAL SIMMONSCredential: MD

Location Address11 UPPER RIVERDALE RD SWRiverdale, GA 30274-2615

Mailing AddressPo Box 100041Kennesaw, GA 30156-9241 · (770) 779-2178

Phone(770) 991-8000

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1983

Enumeration DateDecember 29, 2005

Last NPPES UpdateMay 5, 2017

✔ NPI 1578540647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in GA · 026649

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

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Other Identifiers 3

Medicare UPINE77498GA

Medicaid700883661GA

Medicare ID-Type Unspecified30BDLTLGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Neal 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 ID8921073255

PECOS Enrollment IDI20041102000192

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 Reassignments

Medicare enrollment records show Neal Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry County Radiology Associates

10 mi

Diagnostic Radiology

1133 EAGLES LANDING PKWY
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
19 clinicians in this Medicare group

NPI 1265484182 (770) 389-2200

Radiology Associates Of Macon PC

67 mi

Diagnostic Radiology

770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
39 clinicians in this Medicare group

NPI 1679563035 (478) 743-1458

Central Georgia Mri LLC

67 mi

Diagnostic Radiology

770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
34 clinicians in this Medicare group

NPI 1114908522 (478) 746-1020

Georgia Magnetic Imaging Center Ltd

67 mi

Diagnostic Radiology

770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
35 clinicians in this Medicare group

NPI 1114900545 (478) 746-1020

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 36

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 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.

441 services381 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

241 services231 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

188 services185 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

153 services153 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

147 services138 patients

Dxa bone density measurement of hip, pelvis, spine 77080

134 services134 patients

X-ray of chest, 2 views 71046

98 services95 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

72 services72 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

71 services66 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

47 services47 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

37 services37 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

31 services31 patients

Single contrast x-ray of esophagus 74220

A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.

31 services30 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

30 services30 patients

Ct scan of abdomen and pelvis with contrast 74177

27 services27 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

26 services22 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

25 services24 patients

Ct scan of chest without contrast 71250

24 services24 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

24 services24 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

23 services23 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

22 services22 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

22 services22 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

20 services20 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

19 services18 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

18 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

18 services14 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

17 services17 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

16 services16 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

16 services16 patients

X-ray of abdomen, 1 view 74018

16 services16 patients

Ct scan of abdomen and pelvis without contrast 74176

15 services15 patients

Ct scan head or brain without contrast 70450

12 services12 patients

X-ray of hip, 2-3 views 73502

12 services12 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

11 services11 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

11 services11 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110150

Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County

Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110164

Location350 Hospital DriveMacon, GA 31217 · Bibb County

Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110201

Location400 Charter BoulevardMacon, GA 31210 · Bibb County

Emergency services

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111310

Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%103 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

99%1,438 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

99%177 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.

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.

KAREN KRECHMERY NP

Nurse Practitioner