DOUGLAS A SIMMONS FNP
NPI 1780813832
Nurse Practitioner - Family in Bisbee, AZ

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
108 ARIZONA ST, BISBEE, AZ 85603(520) 432-3309(520) 364-4261 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas A Simmons Fnp NPPES

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

DOUGLAS A SIMMONS FNP (NPI 1780813832) is an individual family provider in Bisbee, Arizona, licensed in Arizona (AP4820) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1780813832
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS A SIMMONSCredential: FNP
Location Address108 ARIZONA STBisbee, AZ 85603-1804
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261
Fax(520) 364-4261
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
NPI 1780813832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP4820
108 ARIZONA ST, Bisbee, AZ 85603

Accepted 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

Douglas A Simmons Fnp 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 ID8123269594
PECOS Enrollment IDI20130726000679
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 85603 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers18 claims40 services$6.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$90.03 avg. paid by Medicare
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
2 suppliers20 claims20 services$177.72 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 11

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

Clinic/Center (Federally Qualified Health Center (FQHC))
108 ARIZONA ST
BISBEE, AZ 85603
Nurse Practitioner (Family)
108 ARIZONA ST
BISBEE, AZ 85603
Social Worker (Clinical)
108 ARIZONA ST
BISBEE, AZ 85603
Dietitian, Registered
108 ARIZONA ST
BISBEE, AZ 85603
Family Medicine
108 ARIZONA ST
BISBEE, AZ 85603
Family Medicine
108 ARIZONA ST
BISBEE, AZ 85603
Family Medicine (Adult Medicine)
108 ARIZONA ST
BISBEE, AZ 85603
General Practice
108 ARIZONA ST
BISBEE, AZ 85603

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 Douglas Simmons's NPI number?

The NPI number for Douglas Simmons is 1780813832. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Douglas Simmons located?

Douglas Simmons practices at 108 Arizona St, Bisbee, AZ 85603. The listed phone number is (520) 432-3309.

What is Douglas Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Douglas Simmons enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Simmons accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Douglas 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 Douglas Simmons was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.