Active NPI 1437558913 Individual Practitioner Male Practitioner

Benjamin S. Simms , NP

Nurse Practitioner - Acute Care • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Benjamin Simms, NP is a certified Nurse Practitioner - Acute Care practicing in Worcester, MA. With approximately 12 years of clinical experience since completing medical education in 2014, Benjamin Simms delivers high-quality medical care to the local community at 119 BELMONT ST.

Benjamin Simms is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, 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

119 Belmont St

Worcester, MA 016052903

Telephone 5083349764

Fax 5083346052

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -2.2 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

97 Specialists

Practicing in Worcester, MA (605 Statewide)

Telehealth Adoption Rate

29.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simms (12 Years) 12 Yrs

Worcester Specialty Average (14.2 Years) 14.2 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	73	69	$300.00	$55.31
99441 Telephone medical discussion with physician, 5-10 minutes	49	47	$197.00	$47.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$445.00	$81.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$178.00	$29.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$276.83	$57.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$386.16	$84.48
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$181.14	$30.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$244.00	$58.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$359.00	$72.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$359.00	$85.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$359.00	$73.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$197.48	$70.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$122.00	$43.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$270.83	$94.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	179	$201.76	$70.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	92	$122.00	$43.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$297.00	$103.15
20552 Injections of trigger points in 1 or 2 muscles	14	11	$148.00	$53.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$287.62	$102.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	361	89	$100.00	$69.23
99213 Established patient office or other outpatient visit, typically 15 minutes	248	107	$136.43	$64.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	63	$75.34	$38.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$260.31	$98.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	530	185	$131.60	$64.50
80307 Testing for presence of drug, by chemistry analyzers	455	109	$110.88	$78.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$204.00	$99.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$202.62	$98.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$80.73	$39.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$303.27	$147.34

Medical Specialties & State Licenses

CMS Verified: 2022-10-31

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License MA RN2288790

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License RI RN53494

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MA RN2288790

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MA RN2288790

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License RI APRN01153

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110100820A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Secondary Practice Locations

133 Brookline Ave

Boston, MA 022153904

Phone: 6174211000

65 Eddie Dowling Hwy

North Smithfield, RI 028967305

Phone: 4015975353

1526 Atwood Ave Ste 200

Johnston, RI 029193289

Phone: 4014042975

Practice Associates & Co-Workers

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

2 Associated Practitioners

Renee Heberlie , PA

Physician Assistant

NPI 1245506450

Physician Assistant

Dr. Michael Stauff , MD

Orthopaedic Surgery

NPI 1902028137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Registered Nurse (License #RN53494 in RI)

📍

Updated Practice Location January 29, 2020

Registered at 119 BELMONT ST, WORCESTER, MA 016052903 (Tel: 5083349764)

📍

Updated Business Mailing Address January 29, 2020

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated January 29, 2020

Recorded as BENJAMIN SIMMS, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2020

Registered Nurse (License #RN2288790 in MA)

✅

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2017

Registered at 65 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 028967305 (Tel: (401) 597-5353)

📍

Updated Business Mailing Address June 14, 2017

Registered at 65 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 028967305 (Tel: (401) 597-5353)

👤

Provider Name / Credentials Updated June 14, 2017

Recorded as BENJAMIN SIMMS, RNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Nurse Practitioner (License #NPP37904 in RI)

✅

NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2016

Registered at 133 BROOKLINE AVE, BOSTON, MA 022153904 (Tel: 6174211000)

📍

Updated Business Mailing Address March 16, 2016

Registered at 133 BROOKLINE AVE, BOSTON, MA 022153904 (Tel: 6174211000)

👤

Provider Name / Credentials Updated March 16, 2016

Recorded as BENJAMIN SIMMS, RNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Nurse Practitioner (License #NPP37904 in RI)

🟢

Initial NPI Registration & Enumeration August 20, 2014

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 Benjamin Simms. 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: 1437558913

Entity Type:

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

Enumeration Date: August 20, 2014

Last Update: October 31, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.