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DR. RICHARD JOSEPH SIMMONS M.D.
NPI 1912131525
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Halfmoon, NY

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
1783 ROUTE 9, SUITE 101, HALFMOON, NY 12065(518) 782-3810(518) 782-3838 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2016, Feb 1, 2016 (2 updates tracked since 2016).

About Dr. Richard Joseph Simmons M.d. NPPES

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

DR. RICHARD JOSEPH SIMMONS M.D. (NPI 1912131525) is an individual neurology with special qualifications in child neurology provider in Halfmoon, New York, licensed in New York (237138) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912131525
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. RICHARD JOSEPH SIMMONSCredential: M.D.
Location Address1783 ROUTE 9, SUITE 101Halfmoon, NY 12065-2409
Mailing Address711 Troy Schenectady Rd, Suite 203Latham, NY 12110-2442 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 782-3810
Fax(518) 782-3838
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 11, 2009
Last NPPES UpdateAugust 29, 20162 updates tracked since enumeration
✔ NPI 1912131525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 237138
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1783 ROUTE 9, Halfmoon, NY 12065
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Other Identifiers 2

Medicare PINJ400285433NY
Medicaid03158770NY

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. Richard Joseph Simmons M.d. 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 ID8022315498
PECOS Enrollment IDI20160330000581
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

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.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

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.

COMMUNITY CARE PHYSICIANS, PC
Internal Medicine
1783 ROUTE 9, SUITE 102
HALFMOON, NY 12065
Saratoga County (518) 383-4198
COMMUNITY CARE PHYSICIANS, PC
Audiologist
1783 ROUTE 9, SUITE 206
HALFMOON, NY 12065
Saratoga County (518) 783-3110
STEPHEN F KINEKE MD
Family Medicine
1783 ROUTE 9, SUITE 202
HALFMOON, NY 12065
Saratoga County (518) 383-2366
COMMUNITY CARE PHYSICIANS, PC
Internal Medicine
1783 ROUTE 9, SUITE 102
HALFMOON, NY 12065
Saratoga County (518) 383-8191
MS. LISA M STEPHENSON MS, FNP
Nurse Practitioner (Family)
1783 ROUTE 9, SUITE 202
HALFMOON, NY 12065
Saratoga County (518) 383-2366
COMMUNITY CARE PHYSICIANS, PLLC
Family Medicine
1783 ROUTE 9, SUITE 202
CLIFTON PARK, NY 12065
Saratoga County (518) 980-5821
COMMUNITY CARE PHYSICIANS, PLLC
Nurse Practitioner (Family)
1783 ROUTE 9, SUITE 101
CLIFTON PARK, NY 12065
Saratoga County (518) 881-1091
LEAH LAFRANCE
Dietitian, Registered
1783 ROUTE 9, SUITE 202B
CLIFTON PARK, NY 12065
Saratoga County (518) 881-1091

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 Richard Simmons's NPI number?

The NPI number for Richard Simmons is 1912131525. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Richard Simmons located?

Richard Simmons practices at 1783 Route 9 Suite 101, Halfmoon, NY 12065. The listed phone number is (518) 782-3810.

What is Richard Simmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Richard Simmons enrolled in Medicare?

Yes. Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Simmons was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.