DR. RUSSELL THOMAS SIMMONS (O.D.) – Optometrist, NPI 1720016272

DR. RUSSELL THOMAS SIMMONS (O.D.) is a healthcare provider. based in Benton, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2329 (AR). The NPI Number for DR. RUSSELL THOMAS SIMMONS (O.D.) is 1720016272

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL THOMAS SIMMONS (O.D.)
NPI
1720016272
Phone
(501) 778-2363
Address
113 W CARPENTER ST
Enumeration Date
30 June 2006
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5017782363
Graduation Year
1983 (43 years ago)
PAC ID
4082657648
Group Practice PAC ID
8628011384
Professional Enrollment ID
I20100909001165
Address ID
AR720153317BE113XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for DR. RUSSELL THOMAS SIMMONS (O.D.)

  • 113, West Carpenter Street, Benton, Saline County, Arkansas, 72015, United States

    BENTON, AR 720153317

    Phone: (501) 778-2363

    Fax: (501) 778-5329

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,983.

Total Amount is formed as General ($1,983) + Research ($0) + Ownership ($0) = $1,983.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($873).

Total Amount

$1,983

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,983

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100909001165IOptometryARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system451430$0
92134Imaging of retina9987$0
92250Photography of the retina7670$0
99213Established patient office or other outpatient visit, 20-29 minutes6756$0
66984Removal of cataract with insertion of prosthetic lens5835$0
View full utilization report →

Insurance plans in this area (ZIP 72015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628011384View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YTN

Reviews

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Frequently asked questions

Can I verify DR. RUSSELL THOMAS SIMMONS (O.D.) with an NPI only?
You can start verification with NPI 1720016272 for DR. RUSSELL THOMAS SIMMONS (O.D.), then check state licensing separately.
Can I rely on DR. RUSSELL THOMAS SIMMONS (O.D.) being an active provider?
As of the registry snapshot, DR. RUSSELL THOMAS SIMMONS (O.D.) is marked active.
What healthcare role does DR. RUSSELL THOMAS SIMMONS (O.D.) hold?
Scheduling teams often label DR. RUSSELL THOMAS SIMMONS (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. RUSSELL THOMAS SIMMONS (O.D.) serve?
DR. RUSSELL THOMAS SIMMONS (O.D.)'s listing highlights Benton, Arkansas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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