Active NPI 1770511180 Individual Practitioner Male Practitioner

Dr. Marcus L Simmons , MD

Internal Medicine • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Simmons, MD is a certified Internal Medicine practicing in Macon, GA. With approximately 29 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1997, Dr. Simmons delivers high-quality medical care to the local community at 5569 HOUSTON RD.

Dr. Simmons maintains professional affiliations with Rutland Family Healthcare Llc, Select Rehabilitation, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, additional, subsequent hospital care with moderate levelof medical decision making, if using time, at least, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5569 Houston Rd

Macon, GA 312165709

Telephone 4787815065

Fax 4787810012

Associated Practice Facility / Clinic

🏢 Rutland Family Healthcare Llc Facility NPI 1366487019

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +11.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (29 Years) 29 Yrs

Macon Specialty Average (17.6 Years) 17.6 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
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	3,431	202	$89.60	$44.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,769	250	$141.92	$74.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,718	202	$82.00	$58.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,171	539	$206.65	$119.32
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	888	82	$75.14	$36.68
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	801	87	$91.26	$45.06
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	623	74	$90.64	$41.04
99497 Advance care planning, first 30 minutes	443	426	$95.00	$76.91
G0444 Annual depression screening, 5 to 15 minutes	436	436	$35.00	$16.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$223.00	$119.46
81002 Urinalysis, manual test	275	230	$15.00	$3.41
71046 X-ray of chest, 2 views	254	228	$52.00	$30.17
99213 Established patient office or other outpatient visit, typically 15 minutes	235	175	$138.41	$84.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	147	$399.00	$163.66
99238 Hospital discharge day management, 30 minutes or less	153	147	$143.00	$76.12
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	149	99	$90.00	$66.29
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	141	99	$180.00	$123.32
93000 Routine ekg using at least 12 leads including interpretation and report	121	119	$95.00	$13.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	100	46	$12.00	$1.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	31	$48.00	$13.15
G0008 Administration of influenza virus vaccine	68	68	$25.00	$24.50
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	53	48	$60.00	$34.62
99495 Transitional care management services for problem of at least moderate complexity	42	41	$315.00	$191.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	32	$38.00	$20.95
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	33	25	$103.00	$49.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$313.02	$156.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	28	$35.00	$16.22
J1010 Injection, methylprednisolone acetate, 1 mg	26	21	$28.00	$0.13
J0696 Injection, ceftriaxone sodium, per 250 mg	24	19	$35.33	$0.45
20610 Aspiration and/or injection of fluid from large joint	22	12	$117.00	$68.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$322.00	$152.65
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$35.00	$19.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$83.00	$52.26
74019 X-ray of abdomen, 2 views	14	12	$75.00	$32.82
90658 Influenza vaccine, trivalent, 0.5 ml dosage	14	14	$35.00	$21.42
99496 Transitional care management services for problem of high complexity	13	13	$443.00	$258.72
69210 Removal of impacted ear wax	13	11	$87.68	$44.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,934	258	$82.00	$58.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,746	243	$142.00	$75.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,293	563	$206.76	$119.73
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	592	100	$51.34	$36.96
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	520	106	$62.04	$44.87
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	453	146	$89.57	$44.08
G0444 Annual depression screening, 5 to 15 minutes	420	420	$34.96	$16.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	410	410	$222.73	$120.15
99497 Advance care planning, first 30 minutes	408	400	$95.00	$78.00
81002 Urinalysis, manual test	308	253	$15.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	271	193	$138.74	$84.05
71046 X-ray of chest, 2 views	260	235	$52.00	$30.72
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	222	70	$67.37	$43.52
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	173	161	$180.00	$123.17
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	170	160	$90.00	$65.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	158	$399.00	$165.76
99238 Hospital discharge day management, 30 minutes or less	156	149	$143.00	$76.65
G0008 Administration of influenza virus vaccine	150	150	$25.00	$24.34
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	148	92	$24.46	$16.84
93000 Routine ekg using at least 12 leads including interpretation and report	146	142	$95.00	$13.45
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	144	144	$35.00	$20.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	96	42	$12.00	$1.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	27	$48.00	$13.09
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	68	54	$60.00	$34.62
J1040 Injection, methylprednisolone acetate, 80 mg	66	38	$28.00	$11.89
77085 Bone density measurement using dedicated x-ray machine	49	48	$105.00	$46.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	45	$38.00	$21.08
87804 Detection test by immunoassay with direct visual observation for influenza virus	41	27	$35.00	$16.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg	41	13	$20.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	37	18	$117.00	$70.22
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	35	29	$103.00	$48.42
J1885 Injection, ketorolac tromethamine, per 15 mg	24	14	$35.00	$0.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$83.00	$52.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$318.00	$151.16
69210 Removal of impacted ear wax	16	15	$95.00	$44.55
J0696 Injection, ceftriaxone sodium, per 250 mg	16	15	$36.25	$0.49
74019 X-ray of abdomen, 2 views	11	11	$75.00	$33.83
99495 Transitional care management services for problem of at least moderate complexity	11	11	$315.00	$189.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,575	271	$82.00	$59.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,434	199	$142.00	$67.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,384	605	$206.55	$120.34
81002 Urinalysis, manual test	520	396	$15.00	$3.40
99497 Advance care planning, first 30 minutes	457	448	$95.00	$80.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$222.47	$122.27
G0444 Annual depression screening, 5 to 15 minutes	414	414	$34.91	$16.79
99213 Established patient office or other outpatient visit, typically 15 minutes	319	215	$139.00	$85.23
71046 X-ray of chest, 2 views	289	262	$52.00	$30.83
93000 Routine ekg using at least 12 leads including interpretation and report	161	155	$95.00	$13.22
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	151	151	$35.00	$20.07
G0008 Administration of influenza virus vaccine	149	149	$25.00	$24.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	126	$399.00	$188.60
99238 Hospital discharge day management, 30 minutes or less	126	122	$143.00	$67.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	44	$11.64	$1.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	59	$205.00	$98.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	94	80	$60.00	$34.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	26	$47.66	$13.34
77085 Bone density measurement using dedicated x-ray machine	72	72	$104.27	$46.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	64	31	$35.00	$15.77
J1040 Injection, methylprednisolone acetate, 80 mg	63	39	$28.00	$10.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	61	11	$20.00	$0.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	37	$37.52	$21.18
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	39	25	$103.00	$49.57
20610 Aspiration and/or injection of fluid from large joint	33	19	$120.55	$74.52
J0696 Injection, ceftriaxone sodium, per 250 mg	30	14	$35.33	$0.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$318.00	$158.64
99496 Transitional care management services for problem of high complexity	18	18	$443.00	$260.49
99495 Transitional care management services for problem of at least moderate complexity	17	14	$315.00	$193.22
69210 Removal of impacted ear wax	17	15	$95.00	$44.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$332.00	$147.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$83.00	$48.87
73502 X-ray of hip, 2-3 views	13	13	$75.00	$42.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$322.00	$157.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,183	262	$82.00	$39.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,602	243	$142.00	$69.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,422	607	$206.71	$123.49
81002 Urinalysis, manual test	646	418	$15.00	$3.41
99497 Advance care planning, first 30 minutes	462	452	$95.00	$81.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	417	417	$222.73	$125.05
G0444 Annual depression screening, 5 to 15 minutes	411	411	$34.96	$17.33
99213 Established patient office or other outpatient visit, typically 15 minutes	352	233	$138.80	$86.56
71046 X-ray of chest, 2 views	328	299	$52.00	$31.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	308	182	$205.00	$100.32
93000 Routine ekg using at least 12 leads including interpretation and report	224	216	$95.00	$13.96
99238 Hospital discharge day management, 30 minutes or less	180	173	$143.00	$69.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	160	$399.00	$193.42
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	141	141	$35.00	$19.63
G0008 Administration of influenza virus vaccine	134	134	$25.00	$15.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	22	$48.00	$13.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	102	32	$12.00	$1.95
J1040 Injection, methylprednisolone acetate, 80 mg	98	58	$28.00	$10.63
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	84	59	$103.00	$50.27
77085 Bone density measurement using dedicated x-ray machine	71	71	$105.00	$48.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	52	$38.00	$21.20
J1885 Injection, ketorolac tromethamine, per 15 mg	56	15	$35.00	$0.44
20610 Aspiration and/or injection of fluid from large joint	53	27	$121.42	$70.33
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	50	45	$60.00	$35.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	33	16	$35.00	$16.55
99495 Transitional care management services for problem of at least moderate complexity	24	20	$315.00	$196.49
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	24	23	$50.00	$45.23
69210 Removal of impacted ear wax	21	19	$95.00	$44.62
74019 X-ray of abdomen, 2 views	17	17	$75.00	$34.38
99496 Transitional care management services for problem of high complexity	13	12	$443.00	$266.15
G0179 Physician re-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 to affirm the initial imp	13	11	$79.00	$38.80
82270 Stool analysis for blood to screen for colon tumors	12	12	$22.00	$4.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$322.00	$162.12
73030 X-ray of shoulder, minimum of 2 views	11	11	$54.00	$31.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,842	229	$82.00	$40.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,759	266	$142.00	$70.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,408	630	$206.71	$104.27
81002 Urinalysis, manual test	471	338	$15.00	$3.46
71046 X-ray of chest, 2 views	429	380	$52.00	$30.74
99497 Advance care planning, first 30 minutes	397	392	$95.00	$84.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	379	379	$222.41	$111.04
99213 Established patient office or other outpatient visit, typically 15 minutes	376	267	$139.00	$71.37
G0444 Annual depression screening, 5 to 15 minutes	369	369	$34.90	$17.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	298	174	$205.00	$101.92
93000 Routine ekg using at least 12 leads including interpretation and report	223	221	$94.65	$16.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	186	175	$399.00	$196.74
99238 Hospital discharge day management, 30 minutes or less	181	173	$143.00	$71.75
80305 Testing for presence of drug, read by direct observation	163	162	$25.00	$12.27
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	158	51	$12.00	$1.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	142	36	$48.00	$13.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	117	117	$35.00	$18.47
G0008 Administration of influenza virus vaccine	115	115	$25.00	$15.63
J1040 Injection, methylprednisolone acetate, 80 mg	105	66	$28.00	$11.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	14	$20.00	$0.11
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	86	74	$103.00	$51.45
J0696 Injection, ceftriaxone sodium, per 250 mg	73	17	$28.00	$0.57
77085 Bone density measurement using dedicated x-ray machine	51	51	$103.96	$49.34
J1885 Injection, ketorolac tromethamine, per 15 mg	48	12	$35.00	$0.54
20610 Aspiration and/or injection of fluid from large joint	46	27	$119.54	$62.11
77080 Dxa bone density measurement of hip, pelvis, spine	40	40	$77.00	$36.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	19	$83.00	$43.41
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	37	34	$50.00	$44.01
74019 X-ray of abdomen, 2 views	32	31	$75.00	$32.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	26	$38.00	$21.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$280.00	$142.55
20550 Injection into tendon or ligament	24	14	$115.00	$49.10
69210 Removal of impacted ear wax	18	16	$95.00	$46.82
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$33.00	$15.76
99495 Transitional care management services for problem of at least moderate complexity	14	13	$315.00	$178.34
82270 Stool analysis for blood to screen for colon tumors	14	14	$22.00	$4.37
G0179 Physician re-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 to affirm the initial imp	12	11	$79.00	$39.12
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	12	12	$423.00	$114.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$332.00	$149.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,254	237	$82.00	$40.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,163	311	$142.00	$71.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,510	671	$206.45	$104.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	525	525	$222.36	$111.26
80305 Testing for presence of drug, read by direct observation	471	449	$25.00	$12.34
99497 Advance care planning, first 30 minutes	418	411	$95.00	$82.79
99213 Established patient office or other outpatient visit, typically 15 minutes	410	297	$139.00	$70.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	336	206	$205.00	$101.78
G0444 Annual depression screening, 5 to 15 minutes	329	329	$34.84	$17.06
71046 X-ray of chest, 2 views	256	218	$52.00	$29.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	228	225	$399.00	$197.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	211	43	$12.00	$1.80
99238 Hospital discharge day management, 30 minutes or less	207	205	$143.00	$71.41
81002 Urinalysis, manual test	204	163	$15.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	202	34	$48.00	$15.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	194	19	$20.00	$0.12
J1040 Injection, methylprednisolone acetate, 80 mg	124	71	$28.00	$12.06
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	117	117	$35.00	$17.48
G0008 Administration of influenza virus vaccine	116	116	$25.00	$15.59
77080 Dxa bone density measurement of hip, pelvis, spine	103	103	$77.00	$37.09
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	94	74	$103.00	$50.95
J0696 Injection, ceftriaxone sodium, per 250 mg	58	15	$28.00	$0.54
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	57	57	$32.70	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	50	50	$95.00	$16.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	13	$83.00	$42.87
20550 Injection into tendon or ligament	43	28	$115.00	$48.84
96146 Psychological or neuropsychological test administration and scoring by single standardized instrument via electronic platform with automated result	36	36	$35.00	$2.00
74019 X-ray of abdomen, 2 views	30	27	$75.00	$32.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	24	$38.00	$21.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$322.21	$164.97
93880 Ultrasound of both sides of head and neck blood flow	15	14	$375.00	$146.87
G0179 Physician re-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 to affirm the initial imp	15	11	$79.00	$39.12
82270 Stool analysis for blood to screen for colon tumors	14	14	$22.00	$4.29
69210 Removal of impacted ear wax	13	13	$95.00	$43.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	12	12	$423.00	$118.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$322.00	$160.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,056	383	$82.00	$40.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,042	318	$142.00	$71.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,581	744	$206.02	$102.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	551	551	$222.19	$110.30
99213 Established patient office or other outpatient visit, typically 15 minutes	516	339	$138.60	$69.58
80305 Testing for presence of drug, read by direct observation	486	460	$25.00	$13.18
G0444 Annual depression screening, 5 to 15 minutes	436	436	$34.80	$16.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	314	218	$205.00	$101.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	243	42	$48.00	$19.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	240	52	$12.00	$1.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg	227	28	$20.00	$0.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	214	211	$399.00	$198.22
99238 Hospital discharge day management, 30 minutes or less	201	199	$143.00	$70.99
81002 Urinalysis, manual test	197	156	$15.00	$3.41
71046 X-ray of chest, 2 views	161	143	$52.00	$28.34
96103 Psychological testing with interpretation and report by computer	149	146	$53.63	$26.92
J1040 Injection, methylprednisolone acetate, 80 mg	115	80	$28.00	$12.97
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	112	96	$103.00	$51.11
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	91	91	$35.00	$17.48
J0696 Injection, ceftriaxone sodium, per 250 mg	91	25	$28.00	$0.62
G0008 Administration of influenza virus vaccine	88	88	$25.00	$19.06
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	86	86	$33.00	$16.07
77080 Dxa bone density measurement of hip, pelvis, spine	73	73	$76.47	$38.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	18	$82.37	$41.47
J1885 Injection, ketorolac tromethamine, per 15 mg	45	12	$35.00	$0.57
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$95.00	$16.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	30	$37.43	$20.15
20550 Injection into tendon or ligament	31	20	$115.00	$48.91
20610 Aspiration and/or injection of fluid from large joint	23	18	$117.00	$53.29
69210 Removal of impacted ear wax	21	17	$95.00	$46.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$315.35	$163.91
G0179 Physician re-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 to affirm the initial imp	19	14	$79.00	$39.39
74019 X-ray of abdomen, 2 views	17	17	$75.00	$30.88
82270 Stool analysis for blood to screen for colon tumors	16	16	$22.00	$4.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$318.00	$158.62
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$65.00	$32.55
99497 Advance care planning, first 30 minutes	12	12	$95.00	$80.64
72040 X-ray of upper spine, 2-3 views	12	12	$62.00	$30.95
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	11	11	$423.00	$123.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,975	301	$142.00	$68.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,755	813	$206.41	$99.08
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	582	391	$81.93	$39.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	490	490	$222.77	$105.14
99213 Established patient office or other outpatient visit, typically 15 minutes	465	318	$139.00	$67.17
80305 Testing for presence of drug, read by direct observation	442	440	$25.00	$14.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	287	185	$205.00	$98.92
71020 X-ray of chest, 2 views, front and side	284	249	$51.73	$25.23
G0444 Annual depression screening, 5 to 15 minutes	275	275	$34.94	$16.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	237	61	$12.00	$2.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	227	218	$399.00	$191.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	212	44	$47.88	$23.07
99238 Hospital discharge day management, 30 minutes or less	201	196	$143.00	$68.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg	193	21	$20.00	$0.12
81002 Urinalysis, manual test	164	133	$15.00	$3.41
J1040 Injection, methylprednisolone acetate, 80 mg	156	94	$28.00	$10.88
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	136	136	$33.00	$15.64
77080 Dxa bone density measurement of hip, pelvis, spine	124	121	$77.00	$36.47
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	110	90	$103.00	$49.84
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	101	101	$35.00	$17.31
93000 Routine ekg using at least 12 leads including interpretation and report	72	71	$93.90	$15.67
J0696 Injection, ceftriaxone sodium, per 250 mg	68	24	$28.00	$0.61
G0008 Administration of influenza virus vaccine	60	60	$25.00	$23.01
J1885 Injection, ketorolac tromethamine, per 15 mg	59	14	$35.00	$0.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$332.00	$158.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	19	$83.00	$40.15
20550 Injection into tendon or ligament	43	34	$115.00	$48.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	32	$38.00	$18.48
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	29	29	$423.00	$150.85
G0179 Physician re-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 to affirm the initial imp	28	26	$79.00	$38.07
20610 Aspiration and/or injection of fluid from large joint	28	20	$117.00	$53.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$318.00	$153.95
93880 Ultrasound of both sides of head and neck blood flow	19	18	$375.00	$139.47
69210 Removal of impacted ear wax	18	18	$95.00	$44.41
82270 Stool analysis for blood to screen for colon tumors	16	16	$22.00	$4.32
74000 X-ray of abdomen, single view	14	14	$44.00	$20.04
73502 X-ray of hip, 2-3 views	13	13	$75.00	$34.85
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$65.00	$31.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 049946

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000863475C (GA)

Medicaid State Provider ID

00863475B (GA)

Commercial Insurance / Payer ID Federal Tax Id

202167625 (GA)

Hospital & Practice Group Affiliations

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Rutland Family Healthcare Llc

5569 Houston Rd, Macon, GA 312165709

Phone: 4787815065

Practice Associates & Co-Workers

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

5 Associated Practitioners

Sharon Broom , ARNP

Nurse Practitioner

NPI 1427127216

Advanced Registered Nurse Practitioner

Tara Dixon , NP

Nurse Practitioner - Family

NPI 1598956120

Nurse Practitioner

Kate Durkee , FNP-C

Nurse Practitioner - Family

NPI 1609277664

Family Nurse Practitioner (Certified)

Joseph Smoak , PA

Physician Assistant

NPI 1659773018

Physician Assistant

Diane Craine , APRN-BC

Nurse Practitioner - Adult Health

NPI 1932278744

APRNBC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2016

Registered at 5569 HOUSTON RD, MACON, GA 312165709 (Tel: 4787815065)

📍

Updated Business Mailing Address December 13, 2016

Registered at 5569 HOUSTON RD, MACON, GA 312165709 (Tel: 4787815065)

👤

Provider Name / Credentials Updated December 13, 2016

Recorded as MARCUS SIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Internal Medicine (License #049946 in GA)

🟢

Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1770511180

Entity Type:

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

Enumeration Date: June 28, 2006

Last Update: December 13, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5569 Houston Rd

Macon, GA 312165709

Phone: 4787815065

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.