KELSEY ELIZABETH SIMMONS D.O.
NPI 1831545383
Family Medicine in Allentown, PA

Active since May 13, 2016PECOS EnrolledAccepts Medicare Assignment
501 CETRONIA RD STE 135, ALLENTOWN, PA 18104(484) 426-2400 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Dec 26, 2025, Nov 10, 2020 and 2 more (5 updates tracked since 2016).

About Kelsey Elizabeth Simmons D.o. NPPES

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

KELSEY ELIZABETH SIMMONS D.O. (NPI 1831545383) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS025208) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Hope Mills.

NPPES Registry Identity

NPI1831545383
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELSEY ELIZABETH SIMMONSCredential: D.O.
Location Address501 CETRONIA RD STE 135Allentown, PA 18104-9569
Mailing Address501 Cetronia Rd # 135Allentown, PA 18104-9569
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 13, 2016
Last NPPES UpdateJanuary 22, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1831545383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · OS025208 Licensed in NC · 217198
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 CETRONIA RD STE 135, Allentown, PA 18104

Secondary Practice Location 1

Location 11249 Chicken Foot RdHope Mills, NC 28348-7525 · Phone (910) 423-1278 · Fax (910) 423-2547

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

Kelsey Elizabeth Simmons D.o. 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 ID6709179203
PECOS Enrollment IDI20190812001434, I20260302002075
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
270 services144 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.
192 services135 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
80 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
56 services55 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers15 claims47 services$6.87 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
4 suppliers11 claims11 services$186.31 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 5

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
501 CETRONIA RD STE 135
ALLENTOWN, PA 18104
Physician Assistant
501 CETRONIA RD STE 135
ALLENTOWN, PA 18104
Family Medicine
501 CETRONIA RD STE 135
ALLENTOWN, PA 18104
Internal Medicine (Adolescent Medicine)
501 CETRONIA RD STE 135
ALLENTOWN, PA 18104
Family Medicine
501 CETRONIA RD STE 135
ALLENTOWN, PA 18104

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 Kelsey Simmons's NPI number?

The NPI number for Kelsey Simmons is 1831545383. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Kelsey Simmons located?

Kelsey Simmons practices at 501 Cetronia Rd Ste 135, Allentown, PA 18104. The listed phone number is (484) 426-2400.

What is Kelsey Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsey Simmons enrolled in Medicare?

Yes. Kelsey 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 Kelsey Simmons accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelsey 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 Kelsey Simmons affiliated with any hospitals?

According to CMS data, Kelsey Simmons is affiliated with Cape Fear Valley Medical Center, Southeastern Regional Medical Center and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Kelsey Simmons was last updated on January 22, 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.