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SCOTT SIMMONS MD
NPI 1740496199
Family Medicine in Creve Coeur, MO

Active since May 15, 2007PECOS Enrolled
11445 OLIVE BLVD, CREVE COEUR, MO 63141(314) 428-9543(314) 428-9542 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2022, Mar 3, 2021 (2 updates tracked since 2021).

About Scott Simmons Md NPPES

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

SCOTT SIMMONS MD (NPI 1740496199) is an individual family medicine provider in Creve Coeur, Missouri, licensed in Missouri (2009007879) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mexico.

NPPES Registry Identity

NPI1740496199
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT SIMMONSCredential: MD
Location Address11445 OLIVE BLVDCreve Coeur, MO 63141-7108
Mailing Address11445 Olive BlvdCreve Coeur, MO 63141-7108 · (314) 428-9543 · Fax (314) 428-9542
Phone(314) 428-9543
Fax(314) 428-9542
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1740496199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2009007879
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2009007879 (MO)
11445 OLIVE BLVD, Creve Coeur, MO 63141
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Webster StreetMexico, MO 65265 · Phone (573) 581-2348 · Fax (573) 581-9447

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Simmons Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy East Ambulatory Services LLC
7.5 mi
Urgent Care
1722 CLARKSON RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 169 clinicians in this Medicare group
NPI 1134673148 (636) 206-2665
Freeman-Oak Hill Health System
249 mi
General Acute Care Hospital
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 171 clinicians in this Medicare group
NPI 1891809679 (417) 347-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims56 services$4.56 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims66 services$23.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers18 claims18 services$66.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers14 claims14 services$25.06 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers23 claims23 services$21.61 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers31 claims186 services$2.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

AMANDA MICHELLE BALDWIN FNP
Nurse Practitioner (Family)
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
MRS. SAMANTHA YATES NUCKOLS PA-C
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
KEMIN CHEN PA
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
MS. GERALDINE PROPHETE PA
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
DR. ERIC H MAI MD
Family Medicine
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
MR. LUKE ANDREW SHOULDERS PA-C
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
NELSON G USRY MD
Family Medicine
11445 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 428-9543

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 Scott Simmons's NPI number?

The NPI number for Scott Simmons is 1740496199. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Scott Simmons located?

Scott Simmons practices at 11445 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 428-9543.

What is Scott Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Simmons enrolled in Medicare?

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

Which organizations bill Medicare for Scott Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Simmons reassigns Medicare benefits to 2 organizations: Mercy East Ambulatory Services LLC (Chesterfield, MO) and Freeman-Oak Hill Health System (Joplin, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Simmons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Scott 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 Scott Simmons was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.