JOHN DOUGLAS SIMMONS M.D.
NPI 1881691228
Radiology - Diagnostic Radiology in Knoxville, TN

Q: What is John Simmons's NPI number?

The NPI number for John Simmons is 1881691228. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is John Simmons's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for John Simmons was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 30, 2005PECOS Enrolled

1112 E WEISGARBER RD STE 102, KNOXVILLE, TN 37909(865) 558-9862(865) 584-3478 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2022, Aug 6, 2019 (2 updates tracked since 2019).

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About John Douglas Simmons M.d. NPPES

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

JOHN DOUGLAS SIMMONS M.D. (NPI 1881691228) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (14768) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881691228

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOHN DOUGLAS SIMMONSCredential: M.D.

Location Address1112 E WEISGARBER RD STE 102Knoxville, TN 37909-2647

Mailing Address1112 E Weisgarber Rd Ste 102Knoxville, TN 37909-2647 · (865) 558-9862 · Fax (865) 584-3478

Phone(865) 558-9862

Fax(865) 584-3478

Sole ProprietorNo

Enumeration DateJune 30, 2005

Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration

NPPES CertifiedOctober 21, 2022

✔ NPI 1881691228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TN · 14768

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 14768 (TN)

1112 E WEISGARBER RD STE 102, Knoxville, TN 37909

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Other Identifiers 2

Medicaid3038137TN

Medicaid3038138TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

John Douglas Simmons M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37909 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%372 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

89%45 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MONROE A BROOME M.D.

Radiology (Diagnostic Radiology)