LISA J SIMMONS MD
NPI 1790773737
Internal Medicine - Hematology & Oncology in Fredericksburg, VA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
85.11/100
CMS Quality Rating
4501 EMPIRE CT, FREDERICKSBURG, VA 22408(540) 371-0079(540) 656-2769 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa J Simmons Md NPPES

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

LISA J SIMMONS MD (NPI 1790773737) is an individual hematology & oncology provider in Fredericksburg, Virginia, licensed in Virginia (0101251664) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790773737
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameLISA J SIMMONSCredential: MD
Location Address4501 EMPIRE CTFredericksburg, VA 22408-1949
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (813) 321-1296
Fax(540) 656-2769
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1999
Enumeration DateOctober 13, 2005
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1790773737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in VA · 0101251664 Licensed in IA · 33840
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.
4501 EMPIRE CT, Fredericksburg, VA 22408

Other Names 1

Former Name (1)Lisa M Jackson

Secondary Practice Locations 2

Location 14545 Empire CtFredericksburg, VA 22408-1949 · Phone (540) 371-0079 · Fax (540) 656-2653
Location 2125 Woodstream Blvd Ste 205Stafford, VA 22556-4630 · Phone (540) 371-0079 · Fax (540) 656-2653

Other Identifiers 4

Other36328Wellmark Bcbs
Medicaid1790773737IA
Medicaid2226035IA
OtherP00687435IA · Rr Medicare

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

Lisa J 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 ID5799769469
PECOS Enrollment IDI20140618001348
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 21

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
296 services19 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
181 services165 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
172 services154 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
137 services125 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
88 services61 patients
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367
This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.
67 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22408 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.

85.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.02
Promoting Interoperability100
Improvement Activities40
Cost57.47

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.

Physician Assistant (Medical)
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Nurse Practitioner
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Social Worker (Clinical)
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Nurse Practitioner (Acute Care)
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Nurse Practitioner
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Internal Medicine (Medical Oncology)
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Internal Medicine (Hematology & Oncology)
4501 EMPIRE CT
FREDERICKSBURG, VA 22408
Physician Assistant
4501 EMPIRE CT
FREDERICKSBURG, VA 22408

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 Lisa Simmons's NPI number?

The NPI number for Lisa Simmons is 1790773737. It was assigned to this individual provider in the NPPES registry on October 13, 2005. The provider is also known as Lisa M Jackson.

Where is Lisa Simmons located?

Lisa Simmons practices at 4501 Empire Ct, Fredericksburg, VA 22408. The listed phone number is (540) 371-0079.

What is Lisa Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Lisa Simmons enrolled in Medicare?

Yes. Lisa 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 Lisa Simmons affiliated with any hospitals?

According to CMS data, Lisa Simmons is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Lisa Simmons was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.