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RACHE M SIMMONS M.D.
NPI 1922104348
Surgery in New York, NY

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
425 E 61ST ST, 8TH FLOOR, NEW YORK, NY 10021(212) 821-0853 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rache M Simmons M.d. NPPES

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

RACHE M SIMMONS M.D. (NPI 1922104348) is an individual surgery provider in New York, New York, licensed in New York (191064) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Duke University School Of Medicine (1988).

NPPES Registry Identity

NPI1922104348
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameRACHE M SIMMONSCredential: M.D.
Location Address425 E 61ST ST, 8TH FLOORNew York, NY 10021-8722
Mailing Address525 E 68th St, Mailbox 232New York, NY 10021-4870 · (212) 821-0853
Phone(212) 821-0853
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 1988
Enumeration DateSeptember 15, 2006
Last NPPES UpdateDecember 9, 2011
✔ NPI 1922104348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 191064
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
425 E 61ST ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN60I1618601NY
Medicare UPINF74239NY

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

Rache M 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 ID4981609831
PECOS Enrollment IDI20060927000218
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
105 services105 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
66 services63 patients
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001
This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.
64 services61 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.
53 services48 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
37 services37 patients
Removal of growth of breast identified by x-ray marker, first growth 19125
This procedure involves removing an abnormal growth in the breast that has been identified by an x-ray marker. The growth is first located, then carefully removed. This is done to ensure your health and prevent potential issues.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

AMY ELISA SHAPSES PT
Physical Therapist
425 E 61ST ST
NEW YORK, NY 10021
New York County (212) 821-0943
DR. MARY DENISE CANCELLARE PH.D.
Psychologist
425 E 61ST ST, PH 1307
NEW YORK, NY 10021
New York County (212) 821-0621
WEILL MEDICAL COLLEGE OF CORNELL
Internal Medicine
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021
New York County (212) 821-0800
MEREDITH SINGER PH.D.
Psychologist (Clinical)
425 E 61ST ST, PENTHOUSE SUITE 1301A
NEW YORK, NY 10021
New York County (212) 821-0869
LONA PRASAD MD
Obstetrics & Gynecology
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021
New York County (212) 821-0974
R.Y. SHIMONY.,M.D.P.C.
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
New York County (212) 752-2700
DANIEL J ADLER M.D.
Internal Medicine (Gastroenterology)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
New York County (212) 826-3903
JASON JEHO KIM MD
Psychiatry & Neurology (Psychiatry)
425 E 61ST ST, PENTHOUSE FLOOR SUITE 13-16
NEW YORK, NY 10021
New York County (212) 821-0712

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 Rache Simmons's NPI number?

The NPI number for Rache Simmons is 1922104348. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Rache Simmons located?

Rache Simmons practices at 425 E 61st St 8th Floor, New York, NY 10021. The listed phone number is (212) 821-0853.

What is Rache Simmons's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rache Simmons enrolled in Medicare?

Yes. Rache 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.

Is Rache Simmons affiliated with any hospitals?

According to CMS data, Rache Simmons is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Rache Simmons was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.