DR. JOHN WALTON II SIMMONS (MD) – Surgery Physician, NPI 1386840874
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. JOHN WALTON II SIMMONS (MD)
1199 Prince Avenue
Athens, GA 30606
Phone: (706) 475-5076
Type: Location
1333 Surgical Services Drive
Kalispell, MT 599014844
Phone: (406) 751-5392
Fax: (406) 751-5406
Type: Location
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (706) 295-5331
Type: Mailing
150, Gentilly Boulevard, Wildwood, Cartersville, Bartow County, Georgia, 30120, United States
CARTERSVILLE, GA 301208522
Phone: (770) 382-5919
Fax: (678) 721-4386
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $335.
Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Sirius Medical Systems ($87).
Total Amount
$335
General + Research + Ownership
Payments
8
Total payment records
General Amount
$335
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirius Medical Systems | $87 |
| Kerecis Limited | $72 |
| Stryker Corporation | $68 |
| Intuitive Surgical, Inc. | $67 |
| Ethicon US, LLC | $24 |
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: 2025-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150824002357 | I | General Surgery | NC | TBD |
| I20170607001703 | I | General Surgery | GA | TBD |
| I20250722004361 | I | General Surgery | MT | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 102 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 40 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 52 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | 15 | $0 |
Insurance plans in this area (ZIP 30606)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA |
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