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DR. LYNNE O SIMMS M.D.
NPI 1730131004
Obstetrics & Gynecology in Lexington, KY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1700 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503(859) 278-0396(859) 277-5414 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2020, Feb 13, 2017 (2 updates tracked since 2017).

About Dr. Lynne O Simms M.d. NPPES

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

DR. LYNNE O SIMMS M.D. (NPI 1730131004) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (32320) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Louisville School Of Medicine (1995).

NPPES Registry Identity

NPI1730131004
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LYNNE O SIMMSCredential: M.D.
Location Address1700 NICHOLASVILLE RD, SUITE 701Lexington, KY 40503-1431
Mailing Address1700 Nicholasville Rd, Suite 701Lexington, KY 40503-1431 · (859) 278-0396 · Fax (859) 277-5414
Phone(859) 278-0396
Fax(859) 277-5414
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1995
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1730131004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 32320
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1700 NICHOLASVILLE RD, Lexington, KY 40503
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Other Identifiers 1

Medicaid64013204KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Lynne O Simms M.d. 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 ID42497208
PECOS Enrollment IDI20110615000762
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
43 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
26 services26 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.
25 services25 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
22 services16 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
60%307 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%1,279 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%357 patients3/55-star benchmark: 85%
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.

DR. MOLLY V HOUSER MD, CDE
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1700 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Fayette County (859) 260-4390
KATHLEEN STUMP
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD, #100
LEXINGTON, KY 40503
Fayette County (859) 523-5310
DR. OLSON PARROTT II M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, # 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
DR. JULIE ANN ASHMUN M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
TRACEY OWENSBY CARBAJAL M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
ELIZABETH FEE LCSW
Social Worker (Clinical)
1700 NICHOLASVILLE RD, STE. 1100
LEXINGTON, KY 40503
Fayette County (859) 260-6856
SARAH CALDWELL MS
Genetic Counselor, MS
1700 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-4549
DR. COREY BLAKE FORESTER M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, STE 701
LEXINGTON, KY 40503
Fayette County (606) 207-2931

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 Lynne Simms's NPI number?

The NPI number for Lynne Simms is 1730131004. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Lynne Simms located?

Lynne Simms practices at 1700 Nicholasville Rd Suite 701, Lexington, KY 40503. The listed phone number is (859) 278-0396.

What is Lynne Simms's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lynne Simms enrolled in Medicare?

Yes. Lynne Simms 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 Lynne Simms accept?

Health plans from CareSource list Lynne Simms 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 Lynne Simms affiliated with any hospitals?

According to CMS data, Lynne Simms is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Lynne Simms was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.