PHILIP LEE SIMMONS MD
NPI 1972579829
Radiology - Diagnostic Radiology in Wildomar, CA

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.45/100
CMS Quality Rating
36320 INLAND VALLEY DR, STE 101, WILDOMAR, CA 92595(951) 600-3811 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Lee Simmons Md NPPES

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

PHILIP LEE SIMMONS MD (NPI 1972579829) is an individual diagnostic radiology provider in Wildomar, California, licensed in California (G81130) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1972579829
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePHILIP LEE SIMMONSCredential: MD
Location Address36320 INLAND VALLEY DR, STE 101Wildomar, CA 92595-7512
Mailing AddressDept La 21693Pasadena, CA 91185-1693 · (858) 564-1400 · Fax (858) 564-1500
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1993
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMay 15, 2008
NPI 1972579829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G81130
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
36320 INLAND VALLEY DR, Wildomar, CA 92595

Other Identifiers 5

Other00G811300CA · Bcbs
Medicare PIN300098798CA
Medicare UPING91082CA
Medicaid00G811300CA
Medicare PIN00G811300CA

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

Philip Lee 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 ID3072594282
PECOS Enrollment IDI20040525000854
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 34

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
542 services485 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
185 services179 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
84 services84 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
81 services81 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
64 services64 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92595 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

93.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost72.71

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%837 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
89%82 patients
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.

Surgery
36320 INLAND VALLEY DR, SUITE 201
WILDOMAR, CA 92595
Internal Medicine (Nephrology)
36320 INLAND VALLEY DR, SUITE 308
WILDOMAR, CA 92595
Surgery
36320 INLAND VALLEY DR, SUITE 201
WILDOMAR, CA 92595
Surgery
36320 INLAND VALLEY DR, SUITE 101A
WILDOMAR, CA 92595
Specialist
36320 INLAND VALLEY DR, #301
WILDOMAR, CA 92595
Clinic/Center (Ambulatory Surgical)
36320 INLAND VALLEY DR, SUITE 101
WILDOMAR, CA 92595
Surgery
36320 INLAND VALLEY DR, SUITE 201
WILDOMAR, CA 92595
Radiology (Diagnostic Radiology)
36320 INLAND VALLEY DR, STE 101
WILDOMAR, CA 92595

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 Philip Simmons's NPI number?

The NPI number for Philip Simmons is 1972579829. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Philip Simmons located?

Philip Simmons practices at 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595. The listed phone number is (951) 600-3811.

What is Philip Simmons's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Simmons enrolled in Medicare?

Yes. Philip Simmons 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.

When was this NPI record last updated?

The NPPES record for Philip Simmons was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.