What is Michael Simmons's specialty?

Michael Simmons (NPI 1629242037) is a Medicare-billing provider whose primary specialty is General Surgery in Galax, VA.

Where does Michael Simmons practice?

Michael Simmons practices in Galax, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1629242037.

How much does Medicare pay Michael Simmons?

Michael Simmons (NPI 1629242037) received approximately $98K in total Medicare Part B payments, serving 275 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1629242037

Michael SimmonsMD

PRACTICEBLUE RIDGE SURGICAL ASSOC., PCSee all providers at this practice →

General SurgeryGalax, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

514

Unique beneficiaries

—

Total services

590

Distinct HCPCS

Medicare payment

$54K

Peer benchmark

Total Medicare services vs. 538 General Surgery providers in VA — top quintile (cohort median 316).

PRESCRIBING · PART D · 2024

Total Rx claims

226

Beneficiaries

—

Total drug cost

$58K

Distinct drugs

Brand share

43.4%

Top prescribed drugs

Sucralfate75 claims

Pantoprazole Sodium32 claims

Hydrocodone/Acetaminophen29 claims

Hydrocortisone21 claims

Sulfamethoxazole/Trimethoprim21 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$42

Payment records

By payment type

Food and Beverage$42

Top paying entities

Food and Beverage$42

REFERRAL NETWORK

Where Michael 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). 2 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
EAST GEORGIA REGIONAL MEDICAL CENTER, LLC	27	56
Carl Scott Internal Medicine · Statesboro, GA	15	20

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