What is Byron Simmons's specialty?

Byron Simmons (NPI 1225060346) is a Medicare-billing provider whose primary specialty is Pathology in Maplewood, MN.

Where does Byron Simmons practice?

Byron Simmons practices in Maplewood, MN, based on the location reported in the CMS Medicare provider datasets for NPI 1225060346.

How much does Medicare pay Byron Simmons?

Byron Simmons (NPI 1225060346) received approximately $40K in total Medicare Part B payments, serving 365 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1225060346

Byron SimmonsMD

PathologyMaplewood, MNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

854

Unique beneficiaries

—

Total services

1,555

Distinct HCPCS

Medicare payment

$38K

Peer benchmark

Total Medicare services vs. 327 Pathology providers in MN — above median (cohort median 1,032).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

88.6

Quality

75.4

Cost

75.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.57%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Byron 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). 24 inbound referrers · 38 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
HEALTHEAST ST JOSEPHS HOSPITAL	142	280
HEALTHEAST ST. JOHN'S HOSPITAL	101	160
HEALTHEAST WOODWINDS HOSPITAL	31	48
AMERY REGIONAL MEDICAL CENTER, INC	30	205
Steven Hommeyer Diagnostic Radiology · Roseville, MN	26	37
Kim Loria Cardiology · Saint Paul, MN	21	37
Dominic Frecentese Diagnostic Radiology · Roseville, MN	18	22
Leslie Forgosh Cardiology · Saint Paul, MN	18	23
Kendall Price Pathology · Woodbury, MN	17	29
Alexandra Muschenheim Diagnostic Radiology · Roseville, MN	17	24
Ronald Reilkoff Critical Care (Intensivists) · Minneapolis, MN	15	30
Paul Mulcahy Diagnostic Radiology · Roseville, MN	15	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
HEALTHEAST ST. JOHN'S HOSPITAL	148	263
HEALTHEAST ST JOSEPHS HOSPITAL	79	144
Kendall Price Pathology · Woodbury, MN	32	45
HEALTHEAST WOODWINDS HOSPITAL	30	46
James Shanks Hematology-Oncology · Maplewood, MN	28	93
Mark Veldman Diagnostic Radiology · Roseville, MN	26	38
Steven Hommeyer Diagnostic Radiology · Roseville, MN	24	37
Anuradha Tummala Diagnostic Radiology · Roseville, MN	23	32
HEALTHEAST CARE SYSTEM	23	29
Paul Mulcahy Diagnostic Radiology · Roseville, MN	19	29
Christine Lange Cardiology · Saint Paul, MN	19	32
BRETZKE, CARL	18	23

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history