GARY EDWARD SIMMONS (M.D.) – Diagnostic Radiology Physician, NPI 1265438691

GARY EDWARD SIMMONS (M.D.) is a healthcare provider. based in Weatherford, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. L1748 (TX). The NPI Number for GARY EDWARD SIMMONS (M.D.) is 1265438691

Main info

Male
39 Years Of Experience
Name
GARY EDWARD SIMMONS (M.D.)
NPI
1265438691
Phone
(817) 321-0404
Address
1429 Clear Lake Rd Ste 400
Enumeration Date
21 June 2005
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8173210470
Graduation Year
1987 (39 years ago)
PAC ID
4385696855
Group Practice PAC ID
7911897301
Professional Enrollment ID
I20050211000799
Address ID
TX761042224FO815XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for GARY EDWARD SIMMONS (M.D.)

  • 1429 Clear Lake Rd Ste 400

    Weatherford, TX 760868803

    Phone: (817) 321-0404

    Type: Location

  • 17980 Dallas Pkwy Ste 200

    Dallas, TX 752876817

    Phone: (817) 321-0404

    Type: Location

  • 815 Pennsylvania Ave

    Fort Worth, TX 761042294

    Phone: (817) 321-0404

    Type: Location

  • 816 W CANNON ST

    FORT WORTH, TX 761043194

    Phone: (817) 321-0404

    Type: Mailing

  • Dr. Brian J. Bruening, 4005, 24th Street, Maxey Park, Lubbock, Texas, 79410, United States

    LUBBOCK, TX 794101835

    Phone: (806) 792-2767

    Fax: (888) 861-8858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Inari Medical, Inc. ($224).

Total Amount

$241

General + Research + Ownership

Payments

4

Total payment records

General Amount

$241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2005-02-11

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
I20050211000799IDiagnostic RadiologyTXTBD

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
77067Screening mammography723723$0
71045X-ray of chest, 1 view702522$0
77063Screening 3d breast mammography611611$0
77080Dxa bone density measurement of hip, pelvis, spine234234$0
70450Ct scan head or brain without contrast232228$0
View full utilization report →

Insurance plans in this area (ZIP 76086)

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Provider's Procedures

GARY EDWARD SIMMONS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71250CT scan chest122120
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views2423
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views3936
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast9695
DIAGNOSTIC RADIOLOGYTX78815Nuclear medicine study with CT imaging skull base to mid-thigh2323

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: 7911897301View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
-TX
Interventional Radiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference GARY EDWARD SIMMONS (M.D.)?
For GARY EDWARD SIMMONS (M.D.), use NPI 1265438691 as the unique 10-digit identifier.
Is there an active status for GARY EDWARD SIMMONS (M.D.)?
For scheduling context, GARY EDWARD SIMMONS (M.D.) is shown as active in the registry.
What kind of doctor is GARY EDWARD SIMMONS (M.D.)?
GARY EDWARD SIMMONS (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is GARY EDWARD SIMMONS (M.D.) associated with Weatherford?
Public fields place GARY EDWARD SIMMONS (M.D.) around Weatherford, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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