GARY L SIMMONS DO
NPI 1770802373
Internal Medicine - Hematology & Oncology in Norfolk, VA

Active since May 21, 2010PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502(757) 466-8683(757) 466-8892 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gary L Simmons Do NPPES

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

GARY L SIMMONS DO (NPI 1770802373) is an individual hematology & oncology provider in Norfolk, Virginia, licensed in Virginia (0102203383) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2010).

NPPES Registry Identity

NPI1770802373
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameGARY L SIMMONSCredential: DO
Location Address6251 E VIRGINIA BEACH BLVD STE 200Norfolk, VA 23502-2800
Mailing Address6350 Center Dr Ste 200Norfolk, VA 23502-4107 · (757) 905-5558
Fax(757) 466-8892
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2010
Enumeration DateMay 21, 2010
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
NPI 1770802373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0102203383
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

6251 E VIRGINIA BEACH BLVD STE 200, Norfolk, VA 23502

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

Gary L Simmons Do 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 ID1850531658
PECOS Enrollment IDI20140806002166
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
150 services32 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
79 services41 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
67 services36 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services33 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services20 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality66.21
Promoting Interoperability82
Improvement Activities40

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.

Pharmacy (Community/Retail Pharmacy)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Internal Medicine (Hematology & Oncology)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Physician Assistant (Medical)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Nurse Practitioner (Acute Care)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Internal Medicine (Hematology & Oncology)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Nurse Practitioner (Family)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Physician Assistant (Medical)
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502
Physician Assistant
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770802373, enumerated as an "individual" on May 21, 2010.

The provider is located at 6251 E VIRGINIA BEACH BLVD STE 200 NORFOLK, VA 23502 and the phone number is (757) 466-8683.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

Gary Simmons is affiliated with: SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL and SENTARA PRINCESS ANNE HOSPITAL.