MARC Z SIMMONS MD
NPI 1841208386
Radiology - Diagnostic Radiology in New York, NY
About Marc Z Simmons Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC Z SIMMONS MD (NPI 1841208386) is an individual diagnostic radiology provider in New York, New York, licensed in New York (177239) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marc Z 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.
Medicare Billing Reassignments
4Medicare enrollment records show Marc Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Basking Ridge, NJ 07920
- Reassigned Medicare billing, New Jersey enrollment
- 385 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW YORK, NY 10021
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 Marc Simmons's NPI number?
The NPI number for Marc Simmons is 1841208386. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Marc Simmons located?
Marc Simmons practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.
What is Marc Simmons's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Marc Simmons enrolled in Medicare?
Yes. Marc 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.
Which organizations bill Medicare for Marc Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Simmons reassigns Medicare benefits to 4 organizations: Mskcc Radiology Group (New York, NY), Msk Bergen (Montvale, NJ), Msk Monmouth (Middletown, NJ) and Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marc Simmons was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Marc Z Simmons, MD · NPI 1841208386
Diagnostic Radiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1841208386 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 177239 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10021-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mskcc Radiology Group (NPI 1639159692, New York, NY); Msk Bergen (NPI 1558814657, Montvale, NJ); Msk Monmouth (NPI 1922459163, Middletown, NJ); Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (NPI 1184637886, Basking Ridge, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1986
## Record status
- **NPPES last updated:** April 7, 2015
- **Other identifiers:** Medicare UPIN F29109
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Source: [NPI Profile](https://npiprofile.com/npi/1841208386) · Data from the CMS NPPES public registry.