DR. MARC D. SIMMONS (M.D.) – Emergency Medicine Physician, NPI 1164408506
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
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Provider Addresses for DR. MARC D. SIMMONS (M.D.)
Lawrence General Hospital, 1, General Street, Lawrence, Essex County, Massachusetts, 01842, United States
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.
LAWRENCE, MA 018412961
Phone: (978) 683-4000
Fax: (978) 946-8026
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)
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: 2023-01-31
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 |
|---|---|---|---|---|
| I20080313000215 | I | Emergency Medicine | MA | TBD |
| I20230131001403 | I | Emergency Medicine | IL | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 263 | 235 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 214 | 200 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 81 | 72 | $0 |
| 99291 | Critical care, first 30-74 minutes | 26 | 26 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 24 | 22 | $0 |
Insurance plans in this area (ZIP 01841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Psychiatry, Pain Management | MA | |
| Internal Medicine | MA | |
| Nephrology, Internal Medicine, Nephrology | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| General Surgery | FL |
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