JOHN PRESTON SIMMONS MD
NPI 1962068031
Pediatrics in Philadelphia, PA
About John Preston Simmons Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PRESTON SIMMONS MD (NPI 1962068031) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Ohio (35.149923) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of University Of Louisville School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Preston Simmons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45229
- Reassigned Medicare billing, Ohio enrollment
- 2,080 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 John Simmons's NPI number?
The NPI number for John Simmons is 1962068031. It was assigned to this individual provider in the NPPES registry on May 14, 2019.
Where is John Simmons located?
John Simmons practices at 3401 Civic Center Blvd Division Of Pediatrics, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.
What is John Simmons's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Simmons enrolled in Medicare?
Yes. John Simmons is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Simmons reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Simmons accept?
Health plans from CareSource list John Simmons 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.
When was this NPI record last updated?
The NPPES record for John Simmons was last updated on August 8, 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.
# John Preston Simmons, MD · NPI 1962068031
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 14, 2019.
## Identity
- **NPI:** 1962068031 (Entity type: Individual)
- **Enumerated:** May 14, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35.149923 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRICS, Philadelphia, PA 19104
- **Phone:** (215) 590-1220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Medical Center (NPI 1609915784, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962068031) · Data from the CMS NPPES public registry.