DR. CHRISTOPHER SIMMONS M.D., PH.D.
NPI 1760826408
Pediatrics in Lexington, KY

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST, LEXINGTON, KY 40536(859) 323-6561 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Christopher Simmons M.d., Ph.d. NPPES

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

DR. CHRISTOPHER SIMMONS M.D., PH.D. (NPI 1760826408) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (50480) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (2013).

NPPES Registry Identity

NPI1760826408
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CHRISTOPHER SIMMONSCredential: M.D., PH.D.
Location Address800 ROSE STLexington, KY 40536-0001
Mailing Address830 South Limestone, University Health Service Building, Suite 304Lexington, KY 40536-0582
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateAugust 21, 2017
NPI 1760826408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in KY · 50480
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 50480 (KY)
800 ROSE ST, Lexington, KY 40536

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. Christopher Simmons M.d., Ph.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 ID5395056758
PECOS Enrollment IDI20171011002995
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

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.
29 services24 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 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 20

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

Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536

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 Christopher Simmons's NPI number?

The NPI number for Christopher Simmons is 1760826408. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Christopher Simmons located?

Christopher Simmons practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-6561.

What is Christopher Simmons's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Christopher Simmons enrolled in Medicare?

Yes. Christopher 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.

Is Christopher Simmons affiliated with any hospitals?

According to CMS data, Christopher Simmons is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Christopher Simmons was last updated on August 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.