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MILES A SIMMONS MD
NPI 1821192113
Psychiatry & Neurology - Psychiatry in Brunswick, ME

Active since September 08, 2006PECOS Enrolled
98.06/100
CMS Quality Rating
169 PARK ROW, SUITE 7, BRUNSWICK, ME 04011(207) 729-5426(207) 725-2473 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miles A Simmons Md NPPES

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

MILES A SIMMONS MD (NPI 1821192113) is an individual psychiatry provider in Brunswick, Maine, licensed in Maine (012801) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1984).

NPPES Registry Identity

NPI1821192113
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMILES A SIMMONSCredential: MD
Location Address169 PARK ROW, SUITE 7Brunswick, ME 04011
Mailing Address169 Park Row, Suite 7Brunswick, ME 04011-2039 · (207) 729-5426 · Fax (207) 725-2473
Phone(207) 729-5426
Fax(207) 725-2473
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1984
Enumeration DateSeptember 8, 2006
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1821192113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ME · 012801
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
169 PARK ROW, Brunswick, ME 04011
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type UnspecifiedMM3412
Medicaid234080099ME
Other003576Antnem
Other78246Cigna
OtherE004219Tricare
Medicare UPIND77274

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miles A Simmons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274578810
PECOS Enrollment IDI20050623000462
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 04011 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

JEAN M PRINCIPE PHD
Psychologist
169 PARK ROW
BRUNSWICK, ME 04011
Cumberland County (207) 729-5426
MR. ALLEN ROBERT NORTHUP LCC LPE
Social Worker
169 PARK ROW
BRUNSWICK, ME 04011
Cumberland County (207) 729-5426
MRS. LESLIE JOY SIMMONS MA LCPC
Counselor
169 PARK ROW
BRUNSWICK, ME 04011
Cumberland County (207) 729-5426
HEARTBEAT CIFC, LLC
Counselor (Professional)
169 PARK ROW
BRUNSWICK, ME 04011
Cumberland County (516) 900-4038
HOWARD T ROSENFIELD MD
Psychiatry & Neurology (Psychiatry)
169 PARK ROW, STE 7
BRUNSWICK, ME 04011
Cumberland County (207) 729-5426
DOROTHY CHAISSON LCSW
Social Worker
169 PARK ROW, SUITE 7
BRUNSWICK, ME 04011
Cumberland County (207) 729-5426
DR. RICHARD A VOIT PH.D.
Psychologist
169 PARK ROW, SUITE 5
BRUNSWICK, ME 04011
Cumberland County (207) 721-0500
MARGARET EDELSTEIN LCPC-C
Counselor (Mental Health)
169 PARK ROW
BRUNSWICK, ME 04011
Cumberland County (207) 200-8490

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 Miles Simmons's NPI number?

The NPI number for Miles Simmons is 1821192113. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Miles Simmons located?

Miles Simmons practices at 169 Park Row Suite 7, Brunswick, ME 04011. The listed phone number is (207) 729-5426.

What is Miles Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Miles Simmons enrolled in Medicare?

Yes. Miles Simmons is registered in the Medicare PECOS enrollment system.

What insurance does Miles Simmons accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Miles 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 Miles Simmons was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.