Doctor profile · Federal record
Dr. Michael Simmons, MD
Urology Physician (CMS: Urology) · Urology Physician · Gainesville, GA
- NPI 1225023344
- Accepts Medicare
- MIPS 87.0 / 100 · 2023
- 34 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
743 Spring St Ne
Gainesville, GA 305013715
(770) 219-8430 - Additional location
-
750 Byron RD
Scottsboro, AL 357694051
(256) 259-8765
fax (256) 716-8060 - Mailing address
-
750 Byron RD
Scottsboro, AL 357694051
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- January 13, 2025
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State licenses (2)
- Georgia #93682 · Alabama #17993
- Medicaid (4)
- FL #256068200 · GA #00820619C · AL #106277 · AL #106278
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225023344. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,244
Distinct HCPCS
10
Medicare allowed
$151,377
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 430 | 288 | $84 | |
81003 |
Automated urinalysis test | 388 | 237 | $2 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 342 | 219 | $119 | |
81001 |
Manual urinalysis test with examination using microscope, automated | 279 | 145 | $3 | |
36415 |
Insertion of needle into vein for collection of blood sample | 139 | 93 | $7 | |
96127 |
Assessment of emotional or behavioral problems | 107 | 84 | $4 | |
51798 |
Ultrasound measurement of bladder capacity after voiding | 100 | 78 | $9 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 91 | 91 | $155 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 83 | 71 | $218 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $103 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 155. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$201
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kerecis Limited | 3 | $148.40 | |
| Medtronic, Inc. | 1 | $52.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,799
Patients
608
Total drug cost
$210,415
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 550 | 172 | $11,647 |
| Finasteride | Generic | 343 | 94 | $5,633 |
| Myrbetriq (Mirabegron) | Brand | 205 | 34 | $125,102 |
| Methenamine Hippurate | Generic | 152 | 40 | $10,308 |
| Bicalutamide | Generic | 82 | 28 | $1,778 |
| Ciprofloxacin Hcl | Generic | 79 | 68 | $353 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 76 | 65 | $204 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 56 | 44 | $1,271 |
| Potassium Citrate Er (Potassium Citrate) | Brand | 52 | 12 | $4,464 |
| Premarin (Estrogens, Conjugated) | Brand | 43 | 25 | $19,751 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Simmons's medical specialty?
Dr. Michael Simmons practices Urology Physician in Gainesville, GA.
Where does Dr. Michael Simmons practice?
Dr. Michael Simmons practices at 743 Spring St Ne, Gainesville, GA 305013715. Office phone: 7702198430.
What is Dr. Michael Simmons's NPI?
Dr. Michael Simmons's National Provider Identifier (NPI) is 1225023344, issued by NPPES.
Does Dr. Michael Simmons accept Medicare assignment?
Yes. Dr. Michael Simmons accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Simmons commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Automated urinalysis test (HCPCS 81003); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.