Doctor profile · Federal record
Dr. James Simmons, D.O.
Hospitalist Physician (CMS: Hospitalist) · Internal Medicine Physician · Hospice and Palliative Medicine (Internal Medicine) Physician · Fresno, CA
- NPI 1043519853
- Accepts Medicare
- MIPS 93.4 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
155 N Fresno St
Fresno, CA 937012302
(559) 499-6500 - Mailing address
-
5563 N Brent Ave
Fresno, CA 937237658
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- November 1, 2018
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- California #20A12478
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043519853. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,055
Distinct HCPCS
5
Medicare allowed
$129,151
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 612 | 231 | $119 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 176 | 166 | $174 | |
99239 |
Hospital discharge day management, more than 30 minutes | 137 | 128 | $115 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 117 | 74 | $79 | |
99238 |
Hospital discharge day management, 30 minutes or less | 13 | 13 | $81 |
In context: peer comparison
Among 31 peers in this city , average services per provider: 145. This provider delivers 7.3× the peer median.Open Payments
Industry payments received
All-time total
$309
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 1 | $151.24 | |
| BIOTRONIK NRO, Inc. | 1 | $124.99 | |
| VERTEX PHARMACEUTICALS INCORPORATED | 1 | $32.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
94
Patients
61
Total drug cost
$1,229
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 17 | 11 | $118 |
| Escitalopram Oxalate | Generic | 16 | 0 | $239 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 15 | 15 | $111 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 13 | $286 |
| Atorvastatin Calcium | Generic | 11 | 11 | $98 |
| Cefdinir | Generic | 11 | 0 | $275 |
| Cephalexin | Generic | 11 | 11 | $101 |
Frequently asked questions
What is Dr. James Simmons's medical specialty?
Dr. James Simmons practices Hospitalist Physician in Fresno, CA.
Where does Dr. James Simmons practice?
Dr. James Simmons practices at 155 N Fresno St, Fresno, CA 937012302. Office phone: 5594996500.
What is Dr. James Simmons's NPI?
Dr. James Simmons's National Provider Identifier (NPI) is 1043519853, issued by NPPES.
Does Dr. James Simmons accept Medicare assignment?
Yes. Dr. James Simmons accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Simmons commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.