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DR. TODD MATTHEW SIMMONS MD
NPI 1679002497
Psychiatry & Neurology - Psychiatry in Maumee, OH

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5755 MONCLOVA RD, MAUMEE, OH 43537(419) 893-9413(419) 893-0026 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Apr 8, 2025, Jan 25, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Todd Matthew Simmons Md NPPES

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

DR. TODD MATTHEW SIMMONS MD (NPI 1679002497) is an individual psychiatry provider in Maumee, Ohio, licensed in Ohio (35.141899) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1679002497
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TODD MATTHEW SIMMONSCredential: MD
Location Address5755 MONCLOVA RDMaumee, OH 43537-1837
Mailing Address5755 Monclova RdMaumee, OH 43537-1837 · (419) 893-9413 · Fax (419) 893-0026
Phone(419) 893-9413
Fax(419) 893-0026
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1679002497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in OH · 35.141899✔ Licensed in VA · 0101285181✔ Licensed in KY · 60646✔ Licensed in MI · 4351028739
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5755 MONCLOVA RD, Maumee, OH 43537
Open in Google Maps ↗

Secondary Practice Locations 9

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (513) 853-8520
Location 21530 Lone Oak RdPaducah, KY 42003-7901 · Phone (513) 853-8520
Location 32200 Jefferson AveToledo, OH 43604-7101 · Phone (513) 853-8520
Location 4100 Medical Center DrSpringfield, OH 45504-2687 · Phone (513) 853-8520
Location 53700 Kolbe RdLorain, OH 44053-1611 · Phone (513) 853-8520
Location 6770 W High St Ste 300Lima, OH 45801-5914 · Phone (419) 996-5033
Location 7830 W High StLima, OH 45801-3971 · Phone (513) 853-8520 · Fax (513) 442-7695
Location 87025 Harbour View Blvd Ste 118Suffolk, VA 23435-2762 · Phone (513) 853-8520
Location 98580 Magellan PkwyRichmond, VA 23227-1149 · Phone (513) 853-8520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Todd Matthew 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 ID8426328931
PECOS Enrollment IDI20210625001765
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 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.
286 services67 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
197 services56 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 8

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

DR. JAMES D LYIONS M.D.
Orthopaedic Surgery
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663
PHARMACY COUNTER, LLC
Durable Medical Equipment & Medical Supplies
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2633
BENJAMIN JOSEPH SALPIETRO JR. M.D.
Orthopaedic Surgery
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663
MICHAEL JOHN HOEFLINGER M.D.
Orthopaedic Surgery
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663
THOMAS MICHAEL HOUSTON M.D.
Orthopaedic Surgery
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663
EMPICARE, INC.
Prosthetic/Orthotic Supplier
5755 MONCLOVA RD, SUITE A
MAUMEE, OH 43537
Lucas County (419) 482-7073
WELLCAREPHYSICIANS GROUP
Orthopaedic Surgery
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663
BILLIE J BUEHRER CNP
Nurse Practitioner
5755 MONCLOVA RD
MAUMEE, OH 43537
Lucas County (419) 893-2663

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 Todd Simmons's NPI number?

The NPI number for Todd Simmons is 1679002497. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Todd Simmons located?

Todd Simmons practices at 5755 Monclova Rd, Maumee, OH 43537. The listed phone number is (419) 893-9413.

What is Todd Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Todd Simmons enrolled in Medicare?

Yes. Todd 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 Todd Simmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Todd 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 Todd Simmons affiliated with any hospitals?

According to CMS data, Todd Simmons is affiliated with Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Simmons was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.