DR. EVERITT NEWTON SIMMONS MD
NPI 1952333064
Emergency Medicine in Alabaster, AL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
45.44/100
CMS Quality Rating
1000 1ST ST N, ALABASTER, AL 35007(205) 620-8133(205) 620-8889 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Everitt Newton Simmons Md NPPES

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

DR. EVERITT NEWTON SIMMONS MD (NPI 1952333064) is an individual emergency medicine provider in Alabaster, Alabama, licensed in Alabama (11850) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1979).

NPPES Registry Identity

NPI1952333064
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. EVERITT NEWTON SIMMONSCredential: MD
Location Address1000 1ST ST NAlabaster, AL 35007-8703
Mailing Address1200 Corporate Dr, Suite 230Birmingham, AL 35242-2941 · (205) 995-7980 · Fax (205) 995-7985
Fax(205) 620-8889
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1979
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1952333064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in AL · 11850
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.

1000 1ST ST N, Alabaster, AL 35007

Other Identifiers 1

Medicare UPINB64795AL

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. Everitt Newton Simmons Md 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 ID3779479308
PECOS Enrollment IDI20070106000087
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
789 services106 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
532 services280 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
356 services350 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
313 services80 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
138 services25 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
95 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35007 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.

45.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.98
Improvement Activities0
Cost47.54

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
5 suppliers61 claims4,440 services$0.36 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
6 suppliers54 claims1,103 services$6.87 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
4 suppliers19 claims375 services$15.27 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers50 claims666 services$9.10 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims2,600 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers23 claims996 services$2.02 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.

Anesthesiology
1000 1ST ST N
ALABASTER, AL 35007
Nurse Anesthetist, Certified Registered
1000 1ST ST N
ALABASTER, AL 35007
Anesthesiology
1000 1ST ST N
ALABASTER, AL 35007
Emergency Medicine
1000 1ST ST N
ALABASTER, AL 35007
Internal Medicine
1000 1ST ST N
ALABASTER, AL 35007
Emergency Medicine
1000 1ST ST N
ALABASTER, AL 35007
Emergency Medicine
1000 1ST ST N
ALABASTER, AL 35007
Emergency Medicine
1000 1ST ST N
ALABASTER, AL 35007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952333064, enumerated as an "individual" on July 07, 2006.

The provider is located at 1000 1ST ST N ALABASTER, AL 35007 and the phone number is (205) 620-8133.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. Please consult your insurance carrier or call the provider to verify.