DR. MARK ANDREW SIMMONS D.D.S.
NPI 1710970389
Dentist - General Practice in La Vernia, TX

Q: What is Mark Simmons's NPI number?

The NPI number for Mark Simmons is 1710970389. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Q: What is Mark Simmons's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Simmons was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 29, 2005PECOS Enrolled

13549 US HWY 87 W, LA VERNIA, TX 78121(830) 779-6511(830) 779-1711 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Mark Andrew Simmons D.d.s. NPPES

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

DR. MARK ANDREW SIMMONS D.D.S. (NPI 1710970389) is an individual general practice provider in La Vernia, Texas, licensed in Texas (TX14122) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of The Dental School At University Of Texas Hsc At San Antonio (1984).

NPPES Registry Identity

NPI1710970389

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK ANDREW SIMMONSCredential: D.D.S.

Location Address13549 US HWY 87 WLa Vernia, TX 78121-5879

Mailing AddressP.o. Box 1294, 13549 Us Hwy 87 WLa Vernia, TX 78121-5879 · (830) 779-6511 · Fax (830) 779-1711

Phone(830) 779-6511

Fax(830) 779-1711

Sole ProprietorYes

Medical School CMSThe Dental School At University Of Texas Hsc At San AntonioGraduated 1984

Enumeration DateAugust 29, 2005

Last NPPES UpdateJanuary 28, 2013

✔ NPI 1710970389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · TX14122

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13549 US HWY 87 W, La Vernia, TX 78121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Mark Andrew Simmons D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284934852

PECOS Enrollment IDI20240529002818

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78121 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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 Mark Simmons's NPI number?

The NPI number for Mark Simmons is 1710970389. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Mark Simmons located?

Mark Simmons practices at 13549 Us Hwy 87 W, La Vernia, TX 78121. The listed phone number is (830) 779-6511.

What is Mark Simmons's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Simmons enrolled in Medicare?

Yes. Mark Simmons is registered in the Medicare PECOS enrollment system.

What insurance does Mark Simmons accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mark 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 Mark Simmons was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.