What is Scott Simmons's specialty?

Scott Simmons (NPI 1528175726) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Pleasant Prairie, WI.

Where does Scott Simmons practice?

Scott Simmons practices in Pleasant Prairie, WI, based on the location reported in the CMS Medicare provider datasets for NPI 1528175726.

How much does Medicare pay Scott Simmons?

Scott Simmons (NPI 1528175726) received approximately $140K in total Medicare Part B payments, serving 362 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1528175726

Scott SimmonsMD

Orthopedic SurgeryPleasant Prairie, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,025

Unique beneficiaries

—

Total services

6,882

Distinct HCPCS

Medicare payment

$112K

Peer benchmark

Total Medicare services vs. 453 Orthopedic Surgery providers in WI — top quintile (cohort median 729).

PRESCRIBING · PART D · 2024

Total Rx claims

232

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Prednisone115 claims

Meloxicam55 claims

Amoxicillin31 claims

Diclofenac Sodium20 claims

Methylprednisolone11 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Scott 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 · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
AURORA HEALTH CARE SOUTHERN LAKES, INC.	265	1,246
Brian Schroeder Nurse Practitioner · Burlington, WI	86	238
Prakash Shah Cardiology · Milwaukee, WI	61	266
Edward St Ville Diagnostic Radiology · St Francis, WI	54	142
FROEDTERT SOUTH, INC.	27	85
Stephen Laskiewicz Emergency Medicine · Kenosha, WI	20	52
James Santarelli Family Practice · Kenosha, WI	20	211
Antony George Emergency Medicine · Hartford, WI	18	67
Dennis Mccreary Family Practice · Zion, IL	18	128
City Of Kenosha Ambulance Service Provider · Kenosha, WI	16	33
NPI 1023125374	15	77
Scott Feldy Internal Medicine · Kenosha, WI	15	61

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events