What is Marc Simmons's specialty?

Marc Simmons (NPI 1841208386) is a Medicare-billing provider whose primary specialty is Diagnostic Radiology in New York, NY.

Where does Marc Simmons practice?

Marc Simmons practices in New York, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1841208386.

How much does Medicare pay Marc Simmons?

Marc Simmons (NPI 1841208386) received approximately $87K in total Medicare Part B payments, serving 1,265 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1841208386

Marc SimmonsMD

PRACTICEMSKCC SURGERY GROUPSee all providers at this practice →

Diagnostic RadiologyNew York, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,760

Unique beneficiaries

—

Total services

1,816

Distinct HCPCS

Medicare payment

$84K

Peer benchmark

Total Medicare services vs. 2,489 Diagnostic Radiology providers in NY — below median (cohort median 3,110).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

81.6

Quality

72.3

Cost

76.6

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.28%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Marc 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). 56 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	39	56
Howard Weinstein Cardiology · New York, NY	36	52
Sree Bhavani Chalasani Hematology-Oncology · Basking Ridge, NJ	35	119
HAMILTON, AUDREY	32	109
Jay Boyle Otolaryngology · New York, NY	31	66
Michael Baum Cardiology · New York, NY	30	36
Michelle Johnson Cardiology · New York, NY	30	40
Stefanie Jacobs Diagnostic Radiology · Englewood, NJ	28	31
Han Xiao Medical Oncology · Basking Ridge, NJ	27	125
Carly Osborne Nurse Practitioner · Basking Ridge, NJ	27	48
Karen Dougherty Nurse Practitioner · Basking Ridge, NJ	26	48
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	24	42

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