DR. RICHARD JOSEPH SIMMONS M.D.
NPI 1912131525
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Halfmoon, NY
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
Specialties & Licenses
Other Identifiers 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Latham, NY 12110
- Reassigned Medicare billing, New York enrollment
- 474 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
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 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.
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.
CLIFTON PARK, NY 12065
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.
Which organization bills Medicare for Richard Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Simmons reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). The 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 Richard 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 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 10 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.
# Dr. Richard Joseph Simmons, M.D. · NPI 1912131525
Neurology with Special Qualifications in Child Neurology physician in Halfmoon, New York. Individual provider, active in the CMS NPPES registry since May 11, 2009.
## Identity
- **NPI:** 1912131525 (Entity type: Individual)
- **Enumerated:** May 11, 2009
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 237138 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1783 ROUTE 9, SUITE 101, Halfmoon, NY 12065-2409
- **Phone:** (518) 782-3810 · **Fax:** (518) 782-3838
## 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:** Community Care Physicians, PLLC (NPI 1922048370, Latham, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 29, 2016
- **Other identifiers:** Medicare PIN J400285433 (NY); Medicaid 03158770 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1912131525) · Data from the CMS NPPES public registry.