Active NPI 1194976548 Individual Practitioner Male Practitioner

Dr. Zachary Lee Simmons , MD

Surgery • Troy, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Zachary Simmons, MD is a certified Surgery practicing in Troy, OH. With approximately 18 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2008, Dr. Simmons delivers high-quality medical care to the local community at 3130 N COUNTY ROAD 25A.

Dr. Simmons is affiliated with Uvpc Specialists, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3130 N County Road 25a
Ste 214

Troy, OH 453731337

Telephone 9373328777

Fax 9373328773

Associated Practice Facility / Clinic

🏢 Valley Anesthesia Inc Facility NPI 1760412159

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Troy, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -6.4 yrs vs City Avg

City Avg: 24.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Troy, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (18 Years) 18 Yrs

Troy Specialty Average (24.4 Years) 24.4 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	32	$120.00	$74.80
99213 Established patient office or other outpatient visit, typically 15 minutes	52	42	$134.00	$83.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$190.00	$120.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$230.00	$123.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$75.00	$44.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1900.00	$283.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$104.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$190.00	$16.98
76937 Ultrasonic guidance for blood vessel access	12	12	$70.00	$13.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$134.00	$87.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$120.00	$73.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$190.00	$123.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$175.00	$108.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$230.00	$122.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$247.00	$153.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$75.00	$49.04

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	73	38	$120.00	$69.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$190.00	$124.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$230.00	$132.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$175.00	$104.65
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$134.00	$88.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$247.00	$163.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$110.00	$87.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$230.00	$134.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$175.00	$110.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$160.00	$127.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$120.00	$71.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	37	$105.00	$72.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$229.00	$138.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$121.00	$72.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$155.00	$103.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$240.00	$162.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$90.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	37	$105.00	$70.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	31	$121.00	$72.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$240.00	$150.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$229.00	$126.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$155.00	$105.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	42	$105.00	$70.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	23	$121.00	$70.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$229.00	$129.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$155.00	$103.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$155.00	$99.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$240.00	$158.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	69	20	$435.00	$53.22
99213 Established patient office or other outpatient visit, typically 15 minutes	63	43	$105.00	$68.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	24	$121.00	$70.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$155.00	$95.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$229.00	$133.62
97597 Removal of tissue from wound, 20.0 sq cm or less	18	11	$115.00	$20.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$240.00	$157.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$155.00	$99.27

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.095832

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0087319 (OH)

Hospital & Practice Group Affiliations

Uvpc Specialists, Inc.

3130 N Count Rd, Troy, OH 453731337

Practice Associates & Co-Workers

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

6 Associated Practitioners

Melinda Duff , PA-C

Physician Assistant - Surgical

NPI 1295737815

Physician Assistant (Certified)

Regina Albers , PA-C

Physician Assistant

NPI 1609425628

Physician Assistant (Certified)

Dr. Lyle Lowry , MD

Surgery

NPI 1720080344

Doctor of Medicine (M.D.)

Dr. Patrick Larreategui , DO

Surgery

NPI 1760484315

Doctor of Osteopathic Medicine (D.O.)

Dr. Daniel Taylor , MD

Surgery

NPI 1851366553

Doctor of Medicine (M.D.)

Dr. Pradeesh George , DO

Surgery - Trauma Surgery

NPI 1992960157

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2017

Registered at 3130 N COUNTY ROAD 25A, STE 214, TROY, OH 453731337 (Tel: 9373328777)

📍

Updated Business Mailing Address April 25, 2017

Registered at 3130 N COUNTY ROAD 25A, STE 214, TROY, OH 453731337 (Tel: 9373328777)

👤

Provider Name / Credentials Updated April 25, 2017

Recorded as ZACHARY SIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Student in an Organized Health Care Education/Training Program

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Surgery (License #35.095832 in OH)

✅

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2014

Registered at 280 LOONEY RD, STE 204, PIQUA, OH 453564199 (Tel: 9377734123)

📍

Updated Business Mailing Address August 21, 2014

Registered at 280 LOONEY RD, STE 204, PIQUA, OH 453564199 (Tel: 9377734123)

👤

Provider Name / Credentials Updated August 21, 2014

Recorded as ZACHARY SIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Surgery (License #35.095832 in OH)

🟢

Initial NPI Registration & Enumeration October 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194976548

Entity Type:

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

Enumeration Date: October 03, 2008

Last Update: April 25, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3130 N County Road 25a, Ste 214

Troy, OH 453731337

Phone: 9373328777

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.