Individual provider Active NPI

Matthew Simmons, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1467747840
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7627 Issued in KS
Practice address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone
(316) 962-3030
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7627 KS Primary

Addresses

Primary practice location

1010 N. Kansas
Wcgme
Wichita, KS 67214

Mailing address

1418 S Main St
Ste 5
Ottawa, KS 66067-3544
Phone (316) 962-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000460 KS Practitioner - Family Practice 6103074844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ottawa Family Physicians, CharteredGroup PAC ID 7416900113, 11 clinicians

Practice addresses (Care Compare)

1418 S Main St
Suite 5
Ottawa, KS 66067-3544
Phone (785) 242-1620

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Rock Creek of Ottawa Nursing home, Ottawa, KS, CCN 175332

Merit-based Incentive Payment System (MIPS)

Final score
79.71 of 100Reported as group
Quality
80.22
Improvement activities
40
Cost
58.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7627KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ottawa Family Physicians, Chartered Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Ottawa Family Physicians, Chartered Family Medicine CurrentSince Sep 1, 2014 Accepting new patients

Locations

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1467747840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST",
            "address_2": "STE 5",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673544",
            "telephone_number": "316-962-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N. KANSAS",
            "address_2": "WCGME",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-962-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.