SCOTT SIMMONS (MD) – Family Medicine Physician, NPI 1740496199

SCOTT SIMMONS (MD) is a healthcare provider. based in Mexico, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 2009007879 (MO). The NPI Number for SCOTT SIMMONS (MD) is 1740496199

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT SIMMONS (MD)
NPI
1740496199
Phone
(573) 581-2348
Address
1000 Webster Street
Enumeration Date
15 May 2007
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732215250
Graduation Year
2003 (23 years ago)
PAC ID
6901996834
Group Practice PAC ID
9931094182
Professional Enrollment ID
I20100318000190

Contacts

Secure Messaging
ssimmons@hannibalclinic.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for SCOTT SIMMONS (MD)

  • 1000 Webster Street

    Mexico, MO 65265

    Phone: (573) 581-2348

    Fax: (573) 581-9447

    Type: Location

  • 11445 OLIVE BLVD

    CREVE COEUR, MO 631417108

    Phone: (314) 428-9543

    Fax: (314) 428-9542

    Type: Mailing

  • 1000, Webster Street, Mexico, Audrain County, Missouri, 65265, United States

    MEXICO, MO 65265

    Phone: (573) 581-2348

    Fax: (573) 581-9447

    Type: Mailing

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: 2010-03-18

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
I20100318000190IEmergency MedicineMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 65265)

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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: 9931094182View full group profile

Reviews

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Frequently asked questions

Does SCOTT SIMMONS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SCOTT SIMMONS (MD) uses 1740496199.
Can I rely on SCOTT SIMMONS (MD) being an active provider?
As of the registry snapshot, SCOTT SIMMONS (MD) is marked active.
What taxonomy line describes SCOTT SIMMONS (MD)?
For research purposes, treat SCOTT SIMMONS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SCOTT SIMMONS (MD) based?
SCOTT SIMMONS (MD) is tied to Mexico, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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