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ANDREA SIMMS M.D.
NPI 1669850657
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since May 11, 2015PECOS Enrolled
96.68/100
CMS Quality Rating
STONY BROOK HOSPITAL DEPARTMENT OF EMERGENCY, HSC LEVEL 4 ROOM 080, STONY BROOK, NY 11794(631) 444-3880(631) 444-3919 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Simms M.d. NPPES

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

ANDREA SIMMS M.D. (NPI 1669850657) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669850657
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA SIMMSCredential: M.D.
Location AddressSTONY BROOK HOSPITAL DEPARTMENT OF EMERGENCY, HSC LEVEL 4 ROOM 080Stony Brook, NY 11794-8350
Mailing Address11 Chivalry LnNesconset, NY 11767-2034 · (540) 840-5099
Phone(631) 444-3880
Fax(631) 444-3919
Sole ProprietorNo
Enumeration DateMay 11, 2015
✔ NPI 1669850657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
STONY BROOK HOSPITAL DEPARTMENT OF EMERGENCY, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Simms M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
162 services152 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
142 services136 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services45 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients

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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Andrea Simms's NPI number?

The NPI number for Andrea Simms is 1669850657. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Andrea Simms located?

Andrea Simms practices at Stony Brook Hospital Department Of Emergency Hsc Level 4 Room 080, Stony Brook, NY 11794. The listed phone number is (631) 444-3880.

What is Andrea Simms's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrea Simms enrolled in Medicare?

Yes. Andrea Simms is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Simms was last updated on May 11, 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.