caretrace.iopowered by▸healthparse
SearchCohort Builder
Tools▾
KOL FinderTerritoriesDrug Compare
AI Query
Browse▾
By stateBy specialty
Pricing
SearchCohort BuilderToolsKOL FinderTerritoriesDrug CompareAI QueryBrowseBy stateBy specialtyPricing
PROVIDER PROFILE · NPI 1407855729

James SimmonsD.O.

PRACTICEPINNACLE PAIN & ORTHOPEDIC CENTER PLLCSee all providers at this practice →
Orthopedic SurgerySan Antonio, TXI
CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore
OIG/SAM exclusion screening, sanctions history
© 2026 CareTrace
PricingContactPrivacyTerms
REFERRAL NETWORK

Where James 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). 6 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Joel Jenne
Orthopedic Surgery · San Antonio, TX
2193
Maged Mina
Anesthesiology · San Antonio, TX
2048
ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.2071
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1430
David Hirsch
Physical Medicine and Rehabilitation · San Antonio, TX
1236
Ajeya Joshi
Orthopedic Surgery · San Antonio, TX
1141
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Irving, TX
4294
Joel Jenne
Orthopedic Surgery · San Antonio, TX
26146
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
2050
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP1648
VANNESS, WILLIAM1432
Maged Mina
Anesthesiology · San Antonio, TX
1341
Nickolas Garcia
Physician Assistant · San Antonio, TX
1219
WIGGINS, ROBERT1124
ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.1118
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1123
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
692
Unique beneficiaries
—
Total services
955
Distinct HCPCS
18
Medicare payment
$111K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,568 Orthopedic Surgery providers in TX — below median (cohort median 1,443).
PRESCRIBING · PART D · 2024
Total Rx claims
390
Beneficiaries
—
Total drug cost
$6K
Distinct drugs
9
Brand share
36.2%
Top prescribed drugs
Hydrocodone/Acetaminophen123 claims
Gabapentin63 claims
Meloxicam49 claims
Methocarbamol48 claims
Tramadol Hcl42 claims
QUALITY · MIPS · 2024
Final MIPS score
84.7
Quality
73.3
Cost
65.8
Improvement activities
40.0
Promoting interop.
98.0
Payment adjustment
0.41%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$4K
Payment records
61
By payment type
Food and Beverage$2K
Travel and Lodging$2K