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PROVIDER PROFILE · NPI 1164408506

Marc SimmonsM.D.

Emergency MedicineLawrence, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 141355
Hospital
CCN 220080
Hospital
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
254
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
9
Brand share
7.1%
Top prescribed drugs
Cephalexin71 claims
Tramadol Hcl63 claims
Prednisone42 claims
Amoxicillin/Potassium Clav18 claims
Meclizine Hcl14 claims
REFERRAL NETWORK

Where Marc Simmons's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC113276
Town Of Derry
Ambulance Service Provider · Derry, NH
54104
Christine Nicoleau
Diagnostic Radiology · Bronx, NY
2031
Maria Diaz
Emergency Medicine · Derry, NH
1938
Elizabeth Hoffman
Emergency Medicine · Concord, NH
1939
Banu Oner
Diagnostic Radiology · Derry, NH
1646
Amit Sharma
Internal Medicine · Cheverly, MD
1119
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC301740
Christine Nicoleau
Diagnostic Radiology · Bronx, NY
71175
Banu Oner
Diagnostic Radiology · Derry, NH
55100
LAWRENCE GENERAL HOSPITAL54148
Quest Diagnostics Llc
Clinical Laboratory · Marlborough, MA
52115
James Johnston
Diagnostic Radiology · Salem, NH
4999
Jacqueline Malloy
Nurse Practitioner · Blue Ridge, GA
4866
Savan Patel
Internal Medicine · Brockton, MA
45141
Action Ambulance Service Inc
Ambulance Service Provider · Wilmington, MA
4582
Robert Hannon
Diagnostic Radiology · Methuen, MA
3866
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER38110
John Niceforo
Diagnostic Radiology · Windham, NH
3670
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
467
Unique beneficiaries
—
Total services
500
Distinct HCPCS
4
Medicare payment
$48K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,329 Emergency Medicine providers in MA — above median (cohort median 399).