Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225023344 Individual Practitioner Male Practitioner

Dr. Michael Grayson Simmons , MD

Urology • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Simmons, MD is a certified Urology practicing in Gainesville, GA. With approximately 34 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1992, Dr. Simmons delivers high-quality medical care to the local community at 743 SPRING ST NE.

Dr. Simmons maintains professional affiliations with Northeast Georgia Physicians Group Inc, Mtn Lake Urology Pc, Floyd Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, manual urinalysis test with examination using microscope, automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

743 Spring St Ne

Gainesville, GA 305013715

Telephone 7702198430
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +11.7 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Gainesville, GA (422 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (34 Years) 34 Yrs
Gainesville Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
428 257 $205.07 $122.38
81003 Automated urinalysis test
325 217 $5.01 $2.19
99213 Established patient office or other outpatient visit, typically 15 minutes
209 161 $140.67 $87.07
81001 Manual urinalysis test with examination using microscope, automated
162 105 $6.98 $3.11
36415 Insertion of needle into vein for collection of blood sample
152 98 $13.99 $8.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
99 99 $307.27 $159.45
96127 Assessment of emotional or behavioral problems
83 71 $10.00 $4.05
51798 Ultrasound measurement of bladder capacity after voiding
71 62 $58.11 $10.13
52000 Diagnostic exam of bladder and urethra using an endoscope
66 58 $468.42 $221.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
65 63 $271.09 $127.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
64 14 $744.00 $179.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
39 39 $194.85 $106.37
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
32 14 $88.28 $32.63
99221 Initial hospital inpatient care per day, typically 30 minutes
29 29 $197.17 $81.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes
22 17 $101.45 $49.33
76872 Ultrasound scan of pelvic region through rectum
18 16 $483.33 $122.05
81000 Manual urinalysis test with examination using microscope, non-automated
16 11 $7.00 $3.94
55700 Biopsy of prostate gland
15 13 $463.93 $226.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope
14 12 $672.71 $127.34
74420 Imaging of urinary tract
12 11 $65.83 $23.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $278.00 $170.39

Medical Specialties & State Licenses

CMS Verified: 2025-01-13
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 93682

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License AL 17993

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
256068200 (FL)
Medicaid State Provider ID
00820619C (GA)
Medicaid State Provider ID
106277 (AL)
Medicaid State Provider ID
106278 (AL)

Hospital & Practice Group Affiliations

Mercy Health Physicians Kentucky Specialty Care Llc

1532 Lone Oak Rd, Paducah, KY 420037940

Phone: 2705386700

Floyd Physicians Llc

304 Turner Mccall Blvd Sw, Rome, GA 301655621

Phone: 7065095000

Piedmont Providers Llc

775 Poplar Rd, Newnan, GA 302658300

Phone: 6784237860

Mtn Lake Urology Pc

750 Byron Rd, Scottsboro, AL 357694051

Phone: 2562598765

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Secondary Practice Locations

750 Byron Rd

Scottsboro, AL 357694051

Phone: 2562598765

Practice Associates & Co-Workers

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

40 Associated Practitioners
Darryl Blalock , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003083478

Certified Registered Nurse Anesthetist

Jacob Leedekerken

Emergency Medicine

NPI 1003312067
Anela Pearson , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1003395146

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Sharani Jayaratne , MD

Emergency Medicine

NPI 1003519653

Doctor of Medicine (M.D.)

Justina Vega , PA-C

Physician Assistant - Surgical

NPI 1003558024

Physician Assistant (Certified)

Rachael Phlipot , CAA

Anesthesiologist Assistant

NPI 1003768425

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 13, 2025

Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7702198430)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Urology (License #93682 in GA)

NPI Profile Active March 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2018

Registered at 750 BYRON RD, SCOTTSBORO, AL 357694051 (Tel: 2562598765)

📍
Updated Business Mailing Address March 21, 2018

Registered at 750 BYRON RD, SCOTTSBORO, AL 357694051 (Tel: 2562598765)

👤
Provider Name / Credentials Updated March 21, 2018

Recorded as MICHAEL SIMMONS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2018

Urology (License #17993 in AL)

NPI Profile Active December 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2012

Registered at 304 PARKS AVE, SCOTTSBORO, AL 357682412 (Tel: 2562598765)

📍
Updated Business Mailing Address December 04, 2012

Registered at 304 PARKS AVE, SCOTTSBORO, AL 357682412 (Tel: 2562598765)

👤
Provider Name / Credentials Updated December 04, 2012

Recorded as MICHAEL SIMMONS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2012

Urology (License #17993 in AL)

🟢
Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225023344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: January 13, 2025
Sole Proprietor: No

Mailing Address

750 Byron Rd

Scottsboro, AL 357694051

Phone: 2562598765

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.