DR. LISA A SIMMON M.D.
NPI 1922430008
Hospitalist in Glendale, AZ

Q: What is Lisa Simmon's NPI number?

The NPI number for Lisa Simmon is 1922430008. It was assigned to this individual provider in the NPPES registry on July 31, 2013. The provider is also known as Lisa A Rauls MD.

Q: What is Lisa Simmon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Simmon was last updated on January 4, 2017. 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.

Active since July 31, 2013PECOS EnrolledAccepts Medicare Assignment

92.29/100

CMS Quality Rating

5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306(602) 865-2627(602) 865-2632 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lisa A Simmon M.d. NPPES

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

DR. LISA A SIMMON M.D. (NPI 1922430008) is an individual hospitalist provider in Glendale, Arizona, licensed in Arizona (50672) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1922430008

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. LISA A SIMMONCredential: M.D.

Location Address5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTERGlendale, AZ 85306

Mailing Address5555 W. Thunderbird, Banner Thunderbird Medical CenterGlendale, AZ 85306 · (602) 865-2627 · Fax (602) 865-2632

Phone(602) 865-2627

Fax(602) 865-2632

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 31, 2013

Last NPPES UpdateJanuary 4, 2017

✔ NPI 1922430008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 50672

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 50672 (AZ)

5555 W. THUNDERBIRD, Glendale, AZ 85306

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Other Names 1

Former Name (1)Lisa A Rauls Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, 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 and accepts Medicare assignment

Dr. Lisa A Simmon 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 ID9638395767

PECOS Enrollment IDI20150922002261

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 85306 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

92.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

66.94

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.

DR. SANJAY B KULKARNI M.D.

Hospitalist