What is Michael Simmons's specialty?

Michael Simmons (NPI 1851518898) is a Medicare-billing provider whose primary specialty is Diagnostic Radiology in Albuquerque, NM.

Where does Michael Simmons practice?

Michael Simmons practices in Albuquerque, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1851518898.

How much does Medicare pay Michael Simmons?

Michael Simmons (NPI 1851518898) received approximately $45K in total Medicare Part B payments, serving 1,178 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1851518898

Michael SimmonsM.D.

Diagnostic RadiologyAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,847

Unique beneficiaries

—

Total services

2,263

Distinct HCPCS

Medicare payment

$39K

Peer benchmark

Total Medicare services vs. 158 Diagnostic Radiology providers in NM — above median (cohort median 2,381).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

89.6

Quality

75.5

Cost

76.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.62%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

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). 190 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Bernalillo County Health Care Corporation Ambulance Service Provider · Albuquerque, NM	363	716
Silanath Terpenning Diagnostic Radiology · Winston Salem, NC	193	452
WIEST, PHILIP	182	481
Jon Hallstrom Diagnostic Radiology · Albuquerque, NM	153	382
Loren Ketai Interventional Radiology · Albuquerque, NM	147	320
PRESBYTERIAN HEALTHCARE SERVICES	139	424
Kelly Kieper Diagnostic Radiology · Albuquerque, NM	130	246
Jennifer Pohl Diagnostic Radiology · Albuquerque, NM	127	277
Kirsten Tolstrup Cardiology · San Francisco, CA	117	217
TRICORE REFERENCE LABORATORIES	112	273
Michael Williamson Diagnostic Radiology · Albuquerque, NM	110	260
Scott Carter Diagnostic Radiology · Winston Salem, NC	94	175

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