DR. DEMETRIUS ANTOINE SIMMONS DO
NPI 1932669546
Emergency Medicine in Mobile, AL

Q: What is Demetrius Simmons's NPI number?

The NPI number for Demetrius Simmons is 1932669546. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Demetrius Simmons's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Demetrius Simmons was last updated on October 13, 2023. 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

181 HILLCREST RD, MOBILE, AL 36608(251) 341-3800 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 13, 2023, Jul 14, 2023, Jan 4, 2023 and 1 more (4 updates tracked since 2019).

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About Dr. Demetrius Antoine Simmons Do NPPES

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

DR. DEMETRIUS ANTOINE SIMMONS DO (NPI 1932669546) is an individual emergency medicine provider in Mobile, Alabama, licensed in Alabama (DO.3208) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Lake Granbury Medical Center, and is a graduate of Alabama College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1932669546

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DEMETRIUS ANTOINE SIMMONSCredential: DO

Location Address181 HILLCREST RDMobile, AL 36608-5306

Mailing Address2451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · (251) 445-8282

Phone(251) 341-3800

Sole ProprietorNo

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1932669546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in AL · DO.3208✔ Licensed in MS · 28328

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 3208 (AL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

181 HILLCREST RD, Mobile, AL 36608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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. Demetrius Antoine Simmons Do 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 ID9830421361

PECOS Enrollment IDI20240916001832

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

70 services69 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

44 services43 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Granbury Medical Center

Acute Care Hospitals · Granbury, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450596

Location1310 Paluxy RdGranbury, TX 76048 · Hood County

Emergency services Birthing friendly

Baylor Scott And White Emergency Hospital

Acute Care Hospitals · Burleson, TX

OwnershipProprietary

CMS Certification Number670107

Location12500 South Freeway Suite 100Burleson, TX 76028 · Johnson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

96.56/100

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

Scored as part of a group practice

Quality

89.76

Promoting Interoperability

100

Improvement Activities

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.

MRS. KERRINGTON PUGH

Physician Assistant