Active NPI 1760448740 Individual Practitioner Male Practitioner

Dr. Richard Simman , MD

Surgery - Plastic and Reconstructive Surgery • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Simman, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Toledo, OH. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Simman delivers high-quality medical care to the local community at 2109 HUGHES DR STE 450.

Dr. Simman maintains professional affiliations with University Of Toledo Physicians Llc, Promedica Central Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, 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

2109 Hughes Dr Ste 450

Toledo, OH 436065102

Telephone 4192912003

Fax 4194796977

Associated Practice Facility / Clinic

🏢 Promedica Central Physicians, Llc Facility NPI 1164566287

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Toledo, OH (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simman (35 Years) 35 Yrs

Toledo Specialty Average (35.0 Years) 35.0 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	350	106	$95.63	$64.74
11042 Removal of skin and tissue, 20.0 sq cm or less	166	56	$217.11	$59.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$156.22	$80.84
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	81	15	$95.00	$25.03
97597 Removal of tissue from wound, 20.0 sq cm or less	23	13	$140.00	$34.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$69.12	$34.88
11104 Punch biopsy, first skin growth	13	13	$102.85	$42.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	88	$92.00	$64.44
11042 Removal of skin and tissue, 20.0 sq cm or less	150	45	$215.00	$58.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$145.00	$79.00
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	48	12	$95.00	$25.14
97597 Removal of tissue from wound, 20.0 sq cm or less	32	20	$140.00	$35.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	62	$92.00	$66.30
11042 Removal of skin and tissue, 20.0 sq cm or less	52	22	$215.00	$59.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$145.00	$83.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$167.00	$105.72
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$112.00	$89.18
97597 Removal of tissue from wound, 20.0 sq cm or less	19	16	$140.00	$36.33
11104 Punch biopsy, first skin growth	13	13	$239.00	$104.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	81	$92.00	$67.47
11042 Removal of skin and tissue, 20.0 sq cm or less	57	26	$215.00	$60.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$145.00	$83.73
11104 Punch biopsy, first skin growth	33	33	$239.00	$122.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$181.78	$110.80
11105 Punch biopsy, each additional skin growth	26	16	$118.00	$59.43
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$112.00	$90.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	414	89	$92.00	$51.35
99213 Established patient office or other outpatient visit, typically 15 minutes	109	46	$94.39	$53.77
11042 Removal of skin and tissue, 20.0 sq cm or less	97	44	$215.00	$59.02
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	60	11	$95.00	$27.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$200.19	$101.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$145.00	$76.38
11042 Removal of skin and tissue, 20.0 sq cm or less	28	17	$216.86	$70.17
11104 Punch biopsy, first skin growth	24	23	$239.00	$121.76
97597 Removal of tissue from wound, 20.0 sq cm or less	17	17	$140.00	$37.72
11104 Punch biopsy, first skin growth	11	11	$101.00	$45.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	75	$92.70	$50.84
99213 Established patient office or other outpatient visit, typically 15 minutes	202	60	$92.00	$48.63
11042 Removal of skin and tissue, 20.0 sq cm or less	137	41	$215.28	$61.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$167.39	$87.83
11042 Removal of skin and tissue, 20.0 sq cm or less	119	35	$215.00	$58.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	17	$133.65	$76.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$145.00	$73.43
11104 Punch biopsy, first skin growth	36	34	$200.36	$91.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	13	$134.00	$77.04
11105 Punch biopsy, each additional skin growth	17	11	$106.88	$52.32
11102 Tangential biopsy of single skin lesion	11	11	$160.00	$68.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	50	$92.00	$49.64
11042 Removal of skin and tissue, 20.0 sq cm or less	126	44	$213.92	$59.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	44	$128.00	$75.72
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	67	17	$95.00	$25.63
99213 Established patient office or other outpatient visit, typically 15 minutes	67	22	$92.00	$48.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	21	$185.00	$105.44
11042 Removal of skin and tissue, 20.0 sq cm or less	47	27	$213.43	$53.70
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	40	17	$95.00	$25.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$145.00	$79.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	13	$128.00	$74.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$118.00	$69.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$199.00	$129.69
11100 Biopsy of single growth of skin and/or tissue	12	12	$221.83	$68.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$145.00	$72.93

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	200	51	$100.18	$65.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	35	$155.23	$71.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	48	$161.21	$124.34
11042 Removal of skin and tissue, 20.0 sq cm or less	40	19	$177.40	$53.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$130.24	$77.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$209.79	$135.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$226.33	$119.92

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OH 35083925

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2461429 (OH)

Hospital & Practice Group Affiliations

University Of Toledo Physicians Llc

1125 Hospital Dr, Toledo, OH 436148001

Phone: 4193835288

Promedica Central Physicians

2109 Hughes Dr, Toledo, OH 436065102

Phone: 4192912003

Promedica Central Physicians

818 Riverside Ave, Adrian, MI 492211446

Phone: 5172650900

Secondary Practice Locations

4000 Miamisburg Centerville Rd, Ste 104

Miamisburg, OH 453423674

Phone: 9373840780

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Drew Oostra , MD

Internal Medicine - Hematology & Oncology

NPI 1013231562

Doctor of Medicine (M.D.)

Itiya Felix , AGACNP

Nurse Practitioner

NPI 1043090210

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Todd Russell , MD

Surgery - Vascular Surgery

NPI 1043219496

Doctor of Medicine (M.D.)

Dr. Chompunut Asava Aree , MD

Surgery - Vascular Surgery

NPI 1104113059

Doctor of Medicine (M.D.)

Dr. Gregory Walker , DO

Surgery - Vascular Surgery

NPI 1134307978

Doctor of Osteopathic Medicine (D.O.)

Douglas Rumbaugh

Nurse Practitioner - Acute Care

NPI 1164274429

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2017

Registered at 2109 HUGHES DR STE 450, TOLEDO, OH 436065102 (Tel: (419) 291-2003)

📍

Updated Business Mailing Address September 08, 2017

Registered at 2109 HUGHES DR STE 450, TOLEDO, OH 436065102 (Tel: (419) 291-2003)

👤

Provider Name / Credentials Updated September 08, 2017

Recorded as RICHARD SIMMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Surgery (License #35083925 in OH)

✅

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2016

Registered at 4000 MIAMISBURG CENTERVILLE RD, STE 104, MIAMISBURG, OH 453423674 (Tel: 9373840780)

📍

Updated Business Mailing Address May 17, 2016

Registered at 4000 MIAMISBURG CENTERVILLE RD, STE 104, MIAMISBURG, OH 453423674 (Tel: 9373840780)

👤

Provider Name / Credentials Updated May 17, 2016

Recorded as RICHARD SIMMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Surgery (License #35083925 in OH)

🟢

Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760448740

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: November 03, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2109 Hughes Dr Ste 450

Toledo, OH 436065102

Phone: 4192912003

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.