KATELYN FALGOUT SIMMONS MD
NPI 1750872529
Obstetrics & Gynecology in Winston Salem, NC

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
4605 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 768-3632 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Sep 1, 2022 (2 updates tracked since 2022).

About Katelyn Falgout Simmons Md NPPES

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

KATELYN FALGOUT SIMMONS MD (NPI 1750872529) is an individual obstetrics & gynecology provider in Winston Salem, North Carolina, licensed in North Carolina (2022-00688) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2018).

NPPES Registry Identity

NPI1750872529
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATELYN FALGOUT SIMMONSCredential: MD
Location Address4605 COUNTRY CLUB RDWinston Salem, NC 27104-3519
Mailing Address4605 Country Club RdWinston Salem, NC 27104-3519 · (336) 768-3632
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2018
Enumeration DateMay 28, 2018
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1750872529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2022-00688
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.
4605 COUNTRY CLUB RD, Winston Salem, NC 27104

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

Katelyn Falgout 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 ID6800274176
PECOS Enrollment IDI20220531000156
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 27104 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
4605 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner (Family)
4605 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Obstetrics & Gynecology
4605 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Physical Therapist
4605 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner
4605 COUNTRY CLUB RD
WINSTON SALEM, NC 27104

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 Katelyn Simmons's NPI number?

The NPI number for Katelyn Simmons is 1750872529. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Where is Katelyn Simmons located?

Katelyn Simmons practices at 4605 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 768-3632.

What is Katelyn Simmons's specialty?

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

Is Katelyn Simmons enrolled in Medicare?

Yes. Katelyn 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.

When was this NPI record last updated?

The NPPES record for Katelyn Simmons was last updated on October 11, 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.