MICHAEL SIMMONS (M.D.) – Ophthalmology Physician, NPI 1194256479

MICHAEL SIMMONS (M.D.) is a healthcare provider. based in Bountiful, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 23619 (NV). The NPI Number for MICHAEL SIMMONS (M.D.) is 1194256479

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SIMMONS (M.D.)
NPI
1194256479
Phone
(801) 476-0494
Address
214 W 1500 S Ste 300
Enumeration Date
27 March 2017
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Secondary Phone
8012644444
Graduation Year
2017 (9 years ago)
PAC ID
7012326390
Group Practice PAC ID
9830172618
Professional Enrollment ID
I20230607001048
Address ID
UT841073053SA4400X700X303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:9State licenses:4Digital endpointsOther names

214 OPHTHALMOLOGY in UT

Provider Addresses for MICHAEL SIMMONS (M.D.)

  • 214 W 1500 S Ste 300

    Bountiful, UT 840107408

    Phone: (801) 476-0494

    Fax: (801) 677-1144

    Type: Location

  • 1025 E 3300 S

    Millcreek, UT 841062849

    Phone: (801) 476-0494

    Fax: (801) 409-9901

    Type: Location

  • 1972 W Grove Pkwy Ste 300

    Pleasant Grove, UT 840626729

    Phone: (801) 476-0494

    Fax: (801) 409-9901

    Type: Location

  • 4360 WASHINGTON BLVD

    ATTN CREDENTIALING

    OGDEN, UT 844031866

    Phone: (801) 476-0494

    Fax: (801) 409-9901

    Type: Mailing

  • West Indianola Avenue, Sunrise Terrace, Maryvale, Phoenix, Maricopa County, Arizona, 85033, United States

    UNIT 102

    PHOENIX, AZ 850133369

    Phone: (520) 789-4332

    Type: Mailing

  • Banner University Medical Center Phoenix, 1111, East McDowell Road, Phoenix, Maricopa County, Arizona, 85006, United States

    PHOENIX, AZ 850062612

    Phone: (520) 789-4332

    Type: Location

  • 516 DELAWARE ST SE

    MINNEAPOLIS, MN 554550356

    Phone: (612) 626-2452

    Type: Location

  • 4400 S 700 E STE 200

    SALT LAKE CITY, UT 841073398

    Phone: (801) 264-4444

    Fax: (801) 281-2383

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $596.

Total Amount is formed as General ($596) + Research ($0) + Ownership ($0) = $596.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($332).

Total Amount

$596

General + Research + Ownership

Payments

26

Total payment records

General Amount

$596

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2023-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20230607001048IOphthalmologyUTTBD
I20230608001114IOphthalmologyWYTBD
I20230609001461IOphthalmologyNVTBD
I20230609001562IOphthalmologyMTTBD

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
J2777Injection, faricimab-svoa, 0.1 mg2,28013$0
J0178Injection, aflibercept, 1 mg832207$0
92134Imaging of retina584364$0
67028Injection of drug into eye555276$0
J3490Unclassified drugs19388$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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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: 9830172618View full group profile
NameSpecialtyState
O P H T H A L M O L O G YHI
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

How do I look up MICHAEL SIMMONS (M.D.) by NPI?
Use NPI 1194256479 when you need to reference MICHAEL SIMMONS (M.D.) in forms, claims, or directories.
Is MICHAEL SIMMONS (M.D.) currently active in the NPI registry?
CMS-published data lists MICHAEL SIMMONS (M.D.) as an active registrant.
What does MICHAEL SIMMONS (M.D.) treat or focus on?
Patients typically see MICHAEL SIMMONS (M.D.) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL SIMMONS (M.D.)?
The snapshot lists Bountiful, Utah for MICHAEL SIMMONS (M.D.); download NPPES for the complete set.
How can I contact MICHAEL SIMMONS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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