DR. KIMBERLY B SIMMONS MD, MPH
NPI 1912131913
Family Medicine in Seattle, WA

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
3400 CALIFORNIA AVE SW, SEATTLE, WA 98116(206) 320-3399(206) 320-5506 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2021, Aug 15, 2019 (2 updates tracked since 2019).

About Dr. Kimberly B Simmons Md, Mph NPPES

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

DR. KIMBERLY B SIMMONS MD, MPH (NPI 1912131913) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD60303007) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1912131913
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY B SIMMONSCredential: MD, MPH
Location Address3400 CALIFORNIA AVE SWSeattle, WA 98116
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 320-5506
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2009
Enumeration DateMay 6, 2009
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1912131913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60303007
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.
3400 CALIFORNIA AVE SW, Seattle, WA 98116

Other Names 1

Former Name (1)Kimberly J.b. Burrows

Secondary Practice Location 1

Location 14100 SW Alaska St Ste BSeattle, WA 98116-4527 · Phone (206) 320-3399 · Fax (206) 320-5506

Other Identifiers 1

Medicaid1912131913WA

Accepted Insurance

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. Kimberly B Simmons Md, Mph 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 ID1658521877
PECOS Enrollment IDI20121025000033
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
800 5TH AVE STE P100
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
830 SW 116TH ST
Seattle, WA 98146
  • Reassigned Medicare billing, Washington enrollment
  • 403 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 4

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.
72 services41 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.
50 services36 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.
40 services40 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98116 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
2 suppliers20 claims20 services$200.15 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 20

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

Family Medicine
3400 CALIFORNIA AVE SW
SEATTLE, WA 98116
Physical Therapist
3400 CALIFORNIA AVE SW, STE 100
SEATTLE, WA 98116
Internal Medicine
3400 CALIFORNIA AVE SW, SUITE 300
SEATTLE, WA 98116
Clinical Medical Laboratory
3400 CALIFORNIA AVE SW, SUITE 300
SEATTLE, WA 98116
Physical Therapist
3400 CALIFORNIA AVE SW, STE 100
SEATTLE, WA 98116
Pediatrics
3400 CALIFORNIA AVE SW, STE 200
SEATTLE, WA 98116
Nurse Practitioner (Family)
3400 CALIFORNIA AVE SW
SEATTLE, WA 98116
Clinical Medical Laboratory
3400 CALIFORNIA AVE SW, SUITE 300
SEATTLE, WA 98116

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 Kimberly Simmons's NPI number?

The NPI number for Kimberly Simmons is 1912131913. It was assigned to this individual provider in the NPPES registry on May 6, 2009. The provider is also known as Kimberly J.B. Burrows.

Where is Kimberly Simmons located?

Kimberly Simmons practices at 3400 California Ave SW, Seattle, WA 98116. The listed phone number is (206) 320-3399.

What is Kimberly Simmons's specialty?

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

Is Kimberly Simmons enrolled in Medicare?

Yes. Kimberly 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 Kimberly Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Simmons reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and Healthpoint (Seattle, WA). 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 Kimberly Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Simmons accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kimberly 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 Kimberly Simmons affiliated with any hospitals?

According to CMS data, Kimberly Simmons is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Simmons was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.