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