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PROVIDER PROFILE · NPI 1619959285

Mark SimmonsM.D.

Internal MedicineLancaster, PAI
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
3,660
Beneficiaries
—
Total drug cost
$279K
Distinct drugs
69
Brand share
15.1%
Top prescribed drugs
Atorvastatin Calcium254 claims
Lisinopril220 claims
Levothyroxine Sodium203 claims
Amlodipine Besylate161 claims
Omeprazole152 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
686
Unique beneficiaries
—
Total services
1,040
Distinct HCPCS
6
Medicare payment
$56K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,434 Internal Medicine providers in PA — top quintile (cohort median 550).
REFERRAL NETWORK

Where Mark 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). 34 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LANCASTER GENERAL HOSPITAL4633,681
Melissa Mckernan Pulliam
Clinical Cardiac Electrophysiology · Lancaster, PA
35109
Jeffrey Kramer
Diagnostic Radiology · Allentown, PA
3273
John Briguglio
Diagnostic Radiology · Hershey, PA
2772
Patrick Weybright
Diagnostic Radiology · Lancaster, PA
2457
Seth Worley
Clinical Cardiac Electrophysiology · Lancaster, PA
2472
Thomas Grana
Internal Medicine · Lancaster, PA
2374
Robert Gress
Diagnostic Radiology · Lancaster, PA
2236
Roy Brod
Ophthalmology · Lancaster, PA
2077
Tareck Nossuli
Advanced Heart Failure and Transplant Cardiology · Lancaster, PA
1978
Pennsylvania Specialty Pathology Llc
Clinical Laboratory · Lancaster, PA
1839
KOCH, PAMELA1839
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.