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DR. DAVID RYAN SIMMONS MD
NPI 1821409731
Family Medicine - Addiction Medicine in Scio, OR

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
98.71/100
CMS Quality Rating
38181 GILKEY RD, SCIO, OR 97374(503) 260-2531 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 22, 2023, Nov 18, 2021, Nov 4, 2020 and 1 more (4 updates tracked since 2020).

About Dr. David Ryan Simmons Md NPPES

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

DR. DAVID RYAN SIMMONS MD (NPI 1821409731) is an individual addiction medicine provider in Scio, Oregon, licensed in Oregon (MD177006) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Samaritan Lebanon Community Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2014).

NPPES Registry Identity

NPI1821409731
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. DAVID RYAN SIMMONSCredential: MD
Location Address38181 GILKEY RDScio, OR 97374-9705
Mailing AddressPo Box 4Crabtree, OR 97335-0004 · (503) 260-2531
Phone(503) 260-2531
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1821409731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OR · MD177006
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD177006 (OR)
38181 GILKEY RD, Scio, OR 97374
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Dr. David Ryan 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 ID446475818
PECOS Enrollment IDI20170823003664
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 4

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.

Treatment of behavior impacting health, each additional 15 minutes 96159
This procedure involves therapeutic interventions to help manage behaviors that may negatively affect your health. Each additional 15-minute session is designed to further assist in developing healthier habits and coping mechanisms.
65 services15 patients
Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
44 services15 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
27 services11 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381323
Location525 N Santiam HighwayLebanon, OR 97355 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97374 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

98.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.18
Promoting Interoperability100
Improvement Activities40
Cost91.87

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 David Simmons's NPI number?

The NPI number for David Simmons is 1821409731. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is David Simmons located?

David Simmons practices at 38181 Gilkey Rd, Scio, OR 97374. The listed phone number is (503) 260-2531.

What is David Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is David Simmons enrolled in Medicare?

Yes. David 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 David Simmons accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list David 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.

Is David Simmons affiliated with any hospitals?

According to CMS data, David Simmons is affiliated with Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for David Simmons was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.