DR. LORRAINE STANLEY SIMONDS M.D.
NPI 1932334968
Ophthalmology in Winter Haven, FL

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
635 1ST ST N, WINTER HAVEN, FL 33881(863) 294-0670(863) 298-3200 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lorraine Stanley Simonds M.d. NPPES

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

DR. LORRAINE STANLEY SIMONDS M.D. (NPI 1932334968) is an individual ophthalmology provider in Winter Haven, Florida, licensed in Florida (ME123046) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2009).

NPPES Registry Identity

NPI1932334968
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. LORRAINE STANLEY SIMONDSCredential: M.D.
Location Address635 1ST ST NWinter Haven, FL 33881-4129
Mailing Address2995 Drew StClearwater, FL 33759-3012 · (727) 315-7496
Fax(863) 298-3200
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1932334968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in FL · ME123046 Licensed in TX · BP1-0035474 Licensed in GA · 069445
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
635 1ST ST N, Winter Haven, FL 33881

Accepted 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. Lorraine Stanley Simonds 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 ID1153560941
PECOS Enrollment IDI20160826001948
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 16

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
663 services631 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
500 services284 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
346 services249 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
125 services115 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
109 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
105 services88 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine (Nephrology)
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
635 1ST ST N
WINTER HAVEN, FL 33881
Psychologist
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881

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 Lorraine Simonds's NPI number?

The NPI number for Lorraine Simonds is 1932334968. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Lorraine Simonds located?

Lorraine Simonds practices at 635 1st St N, Winter Haven, FL 33881. The listed phone number is (863) 294-0670.

What is Lorraine Simonds's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lorraine Simonds enrolled in Medicare?

Yes. Lorraine Simonds 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.

What insurance does Lorraine Simonds accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Lorraine Simonds 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 Lorraine Simonds affiliated with any hospitals?

According to CMS data, Lorraine Simonds is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Simonds was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.