Doctor profile · Federal record
Dr. James Simmons, M.D
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Providence, RI
- NPI 1538402557
- Accepts Medicare
- 13 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
593 Eddy St, Apc Building, 7Th Floor
Providence, RI 029034923
(401) 444-3565
Credentials & registration
- NPI registered
- March 2013 — 13 yrs on file
- Profile last updated
- June 13, 2019
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- Rhode Island #MD16685 · Rhode Island #LP03663
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538402557. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
361
Distinct HCPCS
9
Medicare allowed
$53,373
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 180 | 89 | $215 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 42 | 33 | $120 | |
94729 |
Test to examine how well the lungs exchange gases | 31 | 31 | $59 | |
94726 |
Test to determine lung volumes using sensors | 23 | 23 | $56 | |
94618 |
Test for exercise-induced lung stress | 19 | 19 | $34 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 18 | 18 | $40 | |
94010 |
Test to measure expiratory airflow and volume | 17 | 17 | $28 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $131 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $175 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 32. This provider delivers 11× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. James Simmons's medical specialty?
Dr. James Simmons practices Pulmonary Disease Physician in Providence, RI.
Where does Dr. James Simmons practice?
Dr. James Simmons practices at 593 Eddy St, Providence, RI 029034923. Office phone: 4014443565.
What is Dr. James Simmons's NPI?
Dr. James Simmons's National Provider Identifier (NPI) is 1538402557, 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: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Test to examine how well the lungs exchange gases (HCPCS 94729). Source: CMS Medicare Physician & Other Practitioners file.