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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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
5705 MONCLOVA RD STE 202, MAUMEE, OH 43537(419) 794-2180(419) 794-2175 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 26, 2026, Aug 12, 2026, May 23, 2025 and 5 more (8 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, maintains 10 additional practice locations, and is a graduate of Northeastern Ohio University College Of Medicine (2017).

NPPES Registry Identity

NPI1679002497
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TODD MATTHEW SIMMONSCredential: MD
Location Address5705 MONCLOVA RD STE 202Maumee, OH 43537-1877
Mailing Address5705 Monclova Rd Ste 202Maumee, OH 43537-1877 · (419) 794-2180 · Fax (419) 794-2175
Phone(419) 794-2180
Fax(419) 794-2175
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateAugust 26, 20268 updates tracked since enumeration
NPPES CertifiedAugust 26, 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✔ Licensed in SC · 94112
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.
5705 MONCLOVA RD STE 202, Maumee, OH 43537
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Secondary Practice Locations 10

Location 1100 Medical Center DrSpringfield, OH 45504-2687 · Phone (513) 853-8520
Location 22200 Jefferson AveToledo, OH 43604-7101 · Phone (513) 853-8520
Location 3770 W High St Ste 300Lima, OH 45801-5914 · Phone (419) 996-5033
Location 48580 Magellan PkwyRichmond, VA 23227-1149 · Phone (513) 853-8520
Location 5830 W High StLima, OH 45801-3971 · Phone (513) 853-8520 · Fax (513) 442-7695
Location 61530 Lone Oak RdPaducah, KY 42003-7901 · Phone (513) 853-8520
Location 71 Saint Francis DrGreenville, SC 29601-3955 · Phone (513) 853-8520
Location 83700 Kolbe RdLorain, OH 44053-1611 · Phone (513) 853-8520
Location 91044 Belmont AveYoungstown, OH 44504-1006 · Phone (513) 853-8520
Location 107025 Harbour View Blvd Ste 118Suffolk, VA 23435-2762 · 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

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

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 5705 Monclova Rd Ste 202, Maumee, OH 43537. The listed phone number is (419) 794-2180.

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.

When was this NPI record last updated?

The NPPES record for Todd Simmons was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.