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PROVIDER PROFILE · NPI 1588605687

Paul SimmonsMD

Family PracticeGrand Junction, COI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
235
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
13
Brand share
8.1%
Top prescribed drugs
Dexamethasone31 claims
Oxycodone Hcl30 claims
Prednisone22 claims
Amoxicillin/Potassium Clav19 claims
Azithromycin18 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
119
Unique beneficiaries
—
Total services
122
Distinct HCPCS
6
Medicare payment
$12K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,641 Family Practice providers in CO — below median (cohort median 450).
REFERRAL NETWORK

Where Paul 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). 19 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Monique Morisseau
Family Practice · Grand Junction, CO
70178
Keith Dickerson
Family Practice · Grand Junction, CO
60151
Sabrina Mitchell
Family Practice · Grand Junction, CO
57187
City Of Grand Junction
Ambulance Service Provider · Grand Junction, CO
4089
Sherman Straw
Family Practice · Grand Junction, CO
3999
John Bumgarner
Interventional Radiology · Grand Junction, CO
3789
Geoffrey Scriver
Interventional Radiology · Burlington, VT
35106
MOUNTFORD, MARK3393
COLORADO WEST HEALTHCARE SYSTEM3064
Anthony Bullard
Diagnostic Radiology · Grand Junction, CO
2986
Bethany Peckler
Nurse Practitioner · Grand Junction, CO
2164
David Pettit
Emergency Medicine · Denver, CO
2045
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$27K
Payment records
27
By payment type
Consulting Fee$27K
Top paying entities
Consulting Fee$27K