DONALD RAE SIMMONS (MD) – Family Medicine Physician, NPI 1578556601
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
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Provider Addresses for DONALD RAE SIMMONS (MD)
Dursey Cable Car, Beara Way, Billeragh, Kilnamanagh, West Cork, County Cork, Munster, P75 K722, Ireland
MUENSTER, TX 762520723
Phone: (940) 759-2226
Fax: (940) 759-2385
Type: Mailing
509, North Maple Street, Muenster, Cooke County, Texas, 76252, United States
MUENSTER, TX 762522425
Phone: (940) 759-2226
Fax: (940) 759-2385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $781.
Total Amount is formed as General ($781) + Research ($0) + Ownership ($0) = $781.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($233).
Total Amount
$781
General + Research + Ownership
Payments
36
Total payment records
General Amount
$781
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $233 |
| Novo Nordisk Inc | $154 |
| Phathom Pharmaceuticals, Inc. | $115 |
| Janssen Pharmaceuticals, Inc | $62 |
| Abbott Laboratories | $34 |
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: 2015-06-30
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 |
|---|---|---|---|---|
| I20060726000181 | I | Family Practice | TX | TBD |
| I20150630000888 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,953 | 418 | $0 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,840 | 410 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 382 | 272 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 326 | 226 | $0 |
| 99496 | Transitional care management services for problem of high complexity | 207 | 202 | $0 |
Insurance plans in this area (ZIP 76252)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 17 | 16 |
Reviews
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