DR. DONALD R SIMMONS (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1164428892
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
260 PATHOLOGY in AL
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Provider Addresses for DR. DONALD R SIMMONS (MD)
1209, South Cove Lane, Derby Downs Estates, Vestavia Hills, Jefferson County, Alabama, 35216, United States
VESTAVIA HILLS, AL 352163867
Phone: (205) 807-0517
Type: Mailing
140, Oxmoor Boulevard, Edgemoor Estates, Homewood, Jefferson County, Alabama, 35209, United States
HOMEWOOD, AL 35209
Phone: (205) 313-4628
Type: Location
924 Montclair Rd
Ste 200
Birmingham, AL 352131200
Phone: (205) 591-7999
Fax: (205) 591-5051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040506000761 | I | Pathology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 90 | 77 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 24 | 23 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 12 | 12 | $0 |
Insurance plans in this area (ZIP 35216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | AL |
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