Active NPI 1598733222 Individual Practitioner Male Practitioner

Dr. John Michael Simmons , OD

Optometrist • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Simmons, OD is a certified Optometrist practicing in Macon, GA. With approximately 30 years of clinical experience since graduating from Southern College Of Optometry in 1996, Dr. Simmons delivers high-quality medical care to the local community at 4050 RIVERSIDE DR.

Dr. Simmons maintains professional affiliations with Vision Eye Group Houston County Llc, Vision Eye Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4050 Riverside Dr

Macon, GA 312101805

Telephone 4787441710

Associated Practice Facility / Clinic

🏢 Vision Eye Group Optical Facility NPI 1578613659

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

20 Specialists

Practicing in Macon, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (30 Years) 30 Yrs

Macon Specialty Average (24.6 Years) 24.6 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
92014 Established patient complete exam of visual system	435	431	$237.00	$117.02
99213 Established patient office or other outpatient visit, typically 15 minutes	137	110	$139.00	$86.40
92134 Imaging of retina	116	107	$130.00	$37.41
92133 Imaging of optic nerve	101	86	$127.00	$33.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	49	$205.00	$122.29
92083 Exam of visual field with extended testing	33	33	$270.00	$58.05
92004 New patient complete exam of visual system	27	27	$285.00	$139.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$82.00	$53.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	351	349	$237.00	$115.78
99213 Established patient office or other outpatient visit, typically 15 minutes	156	119	$139.00	$83.95
92134 Imaging of retina	133	120	$130.00	$36.80
92133 Imaging of optic nerve	115	99	$127.00	$33.49
92004 New patient complete exam of visual system	101	101	$285.00	$138.23
92083 Exam of visual field with extended testing	41	41	$270.00	$56.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$205.00	$118.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$82.00	$52.40
92250 Photography of the retina	19	19	$218.00	$34.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	188	185	$152.63	$116.98
99213 Established patient office or other outpatient visit, typically 15 minutes	88	68	$110.48	$85.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	56	$75.55	$52.93
92134 Imaging of retina	75	67	$89.67	$37.50
92133 Imaging of optic nerve	51	47	$90.29	$33.52
92004 New patient complete exam of visual system	40	40	$253.50	$135.45
92081 Exam of visual field with limited testing	16	15	$70.00	$30.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	274	270	$120.36	$118.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	75	$75.23	$52.96
99213 Established patient office or other outpatient visit, typically 15 minutes	74	55	$105.00	$86.81
92134 Imaging of retina	53	44	$75.00	$38.02
92133 Imaging of optic nerve	42	37	$75.00	$34.42
92083 Exam of visual field with extended testing	23	23	$120.00	$58.52
92004 New patient complete exam of visual system	13	13	$145.00	$141.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	227	222	$120.66	$119.44
99213 Established patient office or other outpatient visit, typically 15 minutes	82	65	$105.00	$71.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$75.44	$43.03
92134 Imaging of retina	35	30	$75.00	$38.45
92133 Imaging of optic nerve	34	33	$75.00	$34.90
92083 Exam of visual field with extended testing	20	18	$120.00	$58.85
92004 New patient complete exam of visual system	14	14	$145.00	$142.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	310	309	$120.24	$118.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	69	$75.21	$42.54
99213 Established patient office or other outpatient visit, typically 15 minutes	75	47	$105.00	$70.60
92133 Imaging of optic nerve	61	54	$75.00	$33.80
92083 Exam of visual field with extended testing	53	49	$120.00	$59.72
92134 Imaging of retina	40	39	$75.00	$38.58
92004 New patient complete exam of visual system	29	29	$145.00	$142.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	256	252	$120.10	$114.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	64	$75.24	$39.77
99213 Established patient office or other outpatient visit, typically 15 minutes	72	63	$105.00	$66.65
92133 Imaging of optic nerve	57	53	$75.00	$33.05
92083 Exam of visual field with extended testing	52	49	$120.00	$57.31
92134 Imaging of retina	41	37	$75.00	$37.53
92004 New patient complete exam of visual system	37	37	$145.00	$136.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	305	302	$96.90	$93.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	99	$46.10	$36.69
99213 Established patient office or other outpatient visit, typically 15 minutes	82	60	$75.98	$62.22
92133 Imaging of optic nerve	78	66	$74.13	$30.88
92134 Imaging of retina	66	61	$74.18	$34.38
92083 Exam of visual field with extended testing	59	56	$101.69	$53.32
92004 New patient complete exam of visual system	52	52	$143.12	$125.65
92250 Photography of the retina	20	20	$64.50	$54.40

Medical Specialties & State Licenses

CMS Verified: 2024-06-20

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT001571

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Vision Eye Group Houston County Llc

151 S Houston Lake Rd, Warner Robins, GA 310886382

Phone: 4787441710

Vision Eye Group

4050 Riverside Dr, Macon, GA 312101805

Phone: 4787441710

Secondary Practice Locations

151 S Houston Lake Rd Ste 190

Warner Robins, GA 310886382

Phone: 4787441710

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Dennis Breene , MD

Ophthalmology

NPI 1073603130

Doctor of Medicine (M.D.)

Dr. Jeffery Hinson , MD

Ophthalmology

NPI 1285895227

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 20, 2024

Registered at 4050 RIVERSIDE DR, MACON, GA 312101805 (Tel: 4787441710)

📍

Updated Business Mailing Address June 20, 2024

Registered at 4050 RIVERSIDE DR, MACON, GA 312101805 (Tel: 4787441710)

📍

Updated Business Mailing Address February 16, 2018

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2018

Optometrist (License #OPT001571 in GA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3801 NORTHSIDE DR, MACON, GA 312102418 (Tel: 4784751600)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3801 NORTHSIDE DR, MACON, GA 312102418 (Tel: 4784751600)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SIMMONS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1571 in GA)

🟢

Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Simmons. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1598733222

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: June 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4050 Riverside Dr

Macon, GA 312101805

Phone: 4787441710

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.