DR. ANTHONY II SIMMS (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1972815785
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
Provider Addresses for DR. ANTHONY II SIMMS (M.D.)
11 UPPER RIVERDALE RD SW
PATHOLOGY DEPT
RIVERDALE, GA 302742615
Phone: (678) 423-1550
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)
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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: 2019-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160504001397 | I | Pathology | NY | TBD |
| I20190313000153 | I | Pathology | TX | 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 | 866 | 384 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 150 | 125 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 127 | 23 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 76 | 65 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 72 | 35 | $0 |
Insurance plans in this area (ZIP 30274)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | GA | 88342 | Tissue or cell analysis by immunologic technique | 36 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | NC | |
| P A T H O L O G Y | TN | |
| Dermatology, Pathology | TX | |
| P A T H O L O G Y | TX | |
| - | TX | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | TX |
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