DR. JOHN R. SIMMONS M.D.
NPI 1982664397
Pathology - Anatomic Pathology & Clinical Pathology in Baton Rouge, LA

Active since March 28, 2006PECOS Enrolled
74.5/100
CMS Quality Rating
5339 ODONAVAN, BATON ROUGE, LA 70808(225) 766-4999(225) 767-4702 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John R. Simmons M.d. NPPES

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

DR. JOHN R. SIMMONS M.D. (NPI 1982664397) is an individual anatomic pathology & clinical pathology provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.14896R) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982664397
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOHN R. SIMMONSCredential: M.D.
Location Address5339 ODONAVANBaton Rouge, LA 70808-4388
Mailing Address5339 OdonavanBaton Rouge, LA 70808-4388 · (225) 766-4999 · Fax (225) 767-4702
Fax(225) 767-4702
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 13, 2015
NPI 1982664397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in LA · MD.14896R
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5339 ODONAVAN, Baton Rouge, LA 70808

Other Identifiers 3

Medicare ID-Type Unspecified4E938
Medicaid1148181LA
Medicare UPINH14788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John R. Simmons M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
578 services422 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
113 services44 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
72 services47 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
53 services49 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
53 services51 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
46 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808
Pathology (Anatomic Pathology & Clinical Pathology)
5339 ODONAVAN
BATON ROUGE, LA 70808

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 1982664397. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is John Simmons located?

John Simmons practices at 5339 Odonavan, Baton Rouge, LA 70808. The listed phone number is (225) 766-4999.

What is John Simmons's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Simmons enrolled in Medicare?

Yes. John Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Simmons was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.