Active NPI 1811092760 Individual Practitioner Male Practitioner

Dr. Mark Stuart Simmons , MD

Internal Medicine • Tuscon, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Simmons, MD is a certified Internal Medicine practicing in Tuscon, AZ. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Simmons delivers high-quality medical care to the local community at 3870 W. RIVER RD.

Dr. Simmons is affiliated with Northwest Urgent Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3870 W. River Rd
#126

Tuscon, AZ 85741

Telephone 5202196616

Fax 9702663660

Associated Practice Facility / Clinic

🏢 Northwest Urgent Care Llc Facility NPI 1528683455

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tuscon, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +15.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Tuscon, AZ (2967 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (34 Years) 34 Yrs

Tuscon Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	148	$264.08	$88.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	100	$270.78	$103.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$272.00	$52.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$347.75	$106.88
81003 Automated urinalysis test	16	16	$8.25	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$45.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	190	$244.00	$71.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$253.06	$47.72
99213 Established patient office or other outpatient visit, typically 15 minutes	169	122	$167.00	$78.09
G0008 Administration of influenza virus vaccine	62	62	$53.67	$31.04
90662 Influenza vaccine split virus, preservative free	60	60	$97.17	$71.82
99496 Transitional care management services for problem of high complexity	27	20	$487.00	$137.89
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$518.70	$282.05
G0009 Administration of pneumococcal vaccine	23	23	$40.00	$31.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$338.58	$159.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	14	$120.00	$52.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	166	$244.00	$75.31
99213 Established patient office or other outpatient visit, typically 15 minutes	195	124	$167.00	$73.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$233.00	$44.35
G0008 Administration of influenza virus vaccine	63	62	$51.17	$30.27
90662 Influenza vaccine split virus, preservative free	61	60	$87.17	$68.32
99496 Transitional care management services for problem of high complexity	25	21	$487.00	$111.41
G0009 Administration of pneumococcal vaccine	18	18	$40.00	$30.32
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$512.00	$278.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$120.00	$53.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$99.00	$63.21
81003 Automated urinalysis test	11	11	$5.00	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	267	153	$159.08	$92.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	133	$236.38	$132.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$233.00	$135.57
G0008 Administration of influenza virus vaccine	75	75	$49.93	$17.52
90662 Influenza vaccine split virus, preservative free	72	72	$82.36	$65.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$92.37	$57.94
99496 Transitional care management services for problem of high complexity	18	17	$471.72	$286.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	161	$149.21	$76.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	100	$219.83	$111.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$233.00	$117.70
G0008 Administration of influenza virus vaccine	67	66	$47.50	$17.12
90662 Influenza vaccine split virus, preservative free	65	64	$77.21	$60.70
99496 Transitional care management services for problem of high complexity	22	20	$462.00	$250.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$221.00	$118.02
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$17.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$90.00	$46.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$331.00	$169.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	196	$145.97	$74.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$231.22	$116.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	81	$214.66	$109.26
G0008 Administration of influenza virus vaccine	58	57	$47.48	$16.80
90662 Influenza vaccine split virus, preservative free	54	53	$71.09	$54.79
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$16.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$88.65	$45.62
81003 Automated urinalysis test	19	19	$5.00	$2.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$329.40	$167.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$214.50	$110.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$118.83	$53.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	222	$144.50	$73.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$229.38	$118.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	72	$212.50	$109.02
G0008 Administration of influenza virus vaccine	75	74	$46.09	$20.73
90662 Influenza vaccine split virus, preservative free	73	73	$65.84	$52.01
G0009 Administration of pneumococcal vaccine	38	38	$40.00	$20.73
81003 Automated urinalysis test	29	23	$5.55	$2.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$86.57	$44.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$199.87	$105.59
99496 Transitional care management services for problem of high complexity	17	17	$460.82	$235.15
90670 Pneumococcal vaccine for injection into muscle	16	16	$386.50	$199.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	397	219	$143.54	$72.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$229.62	$114.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	70	$211.62	$105.93
G0009 Administration of pneumococcal vaccine	85	85	$40.00	$25.63
G0008 Administration of influenza virus vaccine	82	77	$36.83	$25.63
90662 Influenza vaccine split virus, preservative free	76	72	$50.78	$47.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$173.22	$95.33
90670 Pneumococcal vaccine for injection into muscle	24	24	$341.75	$186.90
81003 Automated urinalysis test	23	20	$6.00	$3.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$86.00	$43.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$106.00	$53.26
99496 Transitional care management services for problem of high complexity	13	13	$455.15	$227.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$328.73	$163.43

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO 37923

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CO 37923

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

81353871 (CO)

Commercial Insurance / Payer ID Rr Medicare Pin

110198245 (CO)

Hospital & Practice Group Affiliations

Northwest Urgent Care Llc

3870 W River Rd, Tucson, AZ 857413080

Phone: 5202196616

Northwest Urgent Care Llc

1370 N Silverbell Rd, Tucson, AZ 857452291

Phone: 5202058950

Northwest Urgent Care Llc

1880 E Tangerine Rd, Oro Valley, AZ 857556241

Phone: 5209898249

Northwest Urgent Care Llc

4001 E Sunrise Dr, Tucson, AZ 857184326

Phone: 5202097000

Northwest Urgent Care Llc

7895 E Broadway Blvd, Tucson, AZ 857103943

Phone: 5205436770

Northwest Urgent Care Llc

3662 W Ina Rd, Tucson, AZ 857412269

Phone: 5209898251

Northwest Urgent Care Llc

1218 W Irvington Rd, Tucson, AZ 857141137

Phone: 5209898257

Northwest Urgent Care Llc

10568 N Oracle Rd, Tucson, AZ 857379314

Phone: 5205436960

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Patricia Hiebert , FNP

Nurse Practitioner - Family

NPI 1003071325

Family Nurse Practitioner

Babette Haas , MSN, FNP, APRN-BC

Nurse Practitioner - Family

NPI 1033318274

Master of Science in Nursing, Family Nurse Practitioner, APRNBC

Cynthia Smith , FNP

Nurse Practitioner - Family

NPI 1093972309

Family Nurse Practitioner

Shivani Kulkarni , PA-C, MS

Physician Assistant

NPI 1104598234

Physician Assistant (Certified), Master of Science

Dr. Christopher Drysdale , MD

Pediatrics

NPI 1174620595

Doctor of Medicine (M.D.)

Jordan Jowder , LPC

Counselor - Mental Health

NPI 1255077871

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 26, 2024

Registered at 3870 W. RIVER RD, #126, TUSCON, AZ 85741 (Tel: 5202196616)

📍

Updated Business Mailing Address September 26, 2024

Registered at 6531 W. ANTLER BEND PL, MARANA, AZ 85658 (Tel: 9702138123)

✅

NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2016

Registered at 4674 SNOW MESA DR, SUITE 120, FORT COLLINS, CO 805288615 (Tel: 9702663650)

📍

Updated Business Mailing Address March 22, 2016

Registered at 4674 SNOW MESA DR, SUITE 120, FORT COLLINS, CO 805288615 (Tel: 9702663650)

👤

Provider Name / Credentials Updated March 22, 2016

Recorded as MARK SIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Internal Medicine (License #37923 in CO)

🟢

Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811092760

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 14, 2006

Last Update: September 26, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6531 W. Antler Bend Pl

Marana, AZ 85658

Phone: 9702138123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.