Active NPI 1619959285 Individual Practitioner Male Practitioner

Dr. Mark Linwood Simmons , MD

Internal Medicine • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Simmons, MD is a certified Internal Medicine practicing in Lancaster, PA. With approximately 31 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1995, Dr. Simmons delivers high-quality medical care to the local community at 2110 HARRISBURG PIKE.

Dr. Simmons is affiliated with Lancaster General Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2110 Harrisburg Pike
Suite 100

Lancaster, PA 176012644

Telephone 7175443191

Fax 7175443637

Associated Practice Facility / Clinic

🏢 Family Eye Group, P.c. Facility NPI 1588616924

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

93 Specialists

Practicing in Lancaster, PA (7609 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (31 Years) 31 Yrs

Lancaster Specialty Average (22.0 Years) 22.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	266	$242.90	$121.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	371	243	$40.89	$15.66
G0008 Administration of influenza virus vaccine	71	68	$47.83	$30.77
90662 Influenza vaccine split virus, preservative free	68	67	$111.71	$81.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$259.88	$122.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$379.17	$156.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	296	$236.95	$121.89
G0008 Administration of influenza virus vaccine	87	87	$46.00	$29.45
90662 Influenza vaccine split virus, preservative free	83	83	$107.00	$71.93
G0009 Administration of pneumococcal vaccine	15	15	$46.00	$29.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$529.00	$281.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	325	$236.34	$123.61
G0008 Administration of influenza virus vaccine	69	69	$46.00	$28.31
90662 Influenza vaccine split virus, preservative free	60	60	$107.00	$68.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$329.11	$176.52
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$164.22	$87.18
G0009 Administration of pneumococcal vaccine	12	12	$46.00	$28.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	814	356	$236.10	$126.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	152	152	$40.00	$20.38
G0008 Administration of influenza virus vaccine	150	150	$46.00	$16.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	70	$332.00	$179.29
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$167.00	$88.89
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	15	14	$104.00	$52.08
80305 Testing for presence of drug, read by direct observation	13	12	$30.00	$12.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	631	344	$210.00	$107.29
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	147	146	$40.00	$19.30
G0008 Administration of influenza virus vaccine	145	144	$46.00	$16.28
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$142.00	$72.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	59	$280.00	$142.19
99442 Telephone medical discussion with physician, 11-20 minutes	52	51	$148.00	$73.50
99443 Telephone medical discussion with physician, 21-30 minutes	28	28	$214.00	$107.76
G0009 Administration of pneumococcal vaccine	26	26	$46.00	$16.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$152.00	$118.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$120.00	$114.58
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	11	11	$104.00	$52.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	766	379	$210.00	$105.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	137	137	$40.00	$18.65
G0008 Administration of influenza virus vaccine	137	137	$46.00	$15.95
99213 Established patient office or other outpatient visit, typically 15 minutes	92	74	$142.00	$72.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	65	$280.00	$143.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	11	$6.00	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	11	$48.00	$16.24
99495 Transitional care management services for problem of at least moderate complexity	17	17	$316.00	$160.87
G0009 Administration of pneumococcal vaccine	17	17	$46.00	$15.95
80305 Testing for presence of drug, read by direct observation	14	14	$30.00	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	815	395	$210.00	$104.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	142	142	$40.00	$18.52
G0008 Administration of influenza virus vaccine	141	141	$46.00	$19.57
99213 Established patient office or other outpatient visit, typically 15 minutes	70	61	$142.00	$70.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	57	$280.00	$140.06
G0009 Administration of pneumococcal vaccine	42	42	$46.00	$19.10
90670 Pneumococcal vaccine for injection into muscle	27	27	$306.00	$189.04
99495 Transitional care management services for problem of at least moderate complexity	22	15	$316.00	$159.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$152.00	$98.99
80305 Testing for presence of drug, read by direct observation	15	15	$30.00	$13.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	825	404	$210.00	$103.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	147	146	$40.00	$18.40
G0008 Administration of influenza virus vaccine	145	144	$46.00	$24.05
99213 Established patient office or other outpatient visit, typically 15 minutes	121	97	$142.00	$69.96
G0009 Administration of pneumococcal vaccine	72	72	$46.00	$24.05
90670 Pneumococcal vaccine for injection into muscle	40	40	$306.00	$184.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$152.00	$93.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$280.00	$140.17
99495 Transitional care management services for problem of at least moderate complexity	15	14	$316.00	$157.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$182.00	$164.95
80305 Testing for presence of drug, read by direct observation	11	11	$30.00	$14.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD064373L

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

1018709640001 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

1947245 (PA)

Commercial Insurance / Payer ID Geisinger Health Plan

107756 S1QA (PA)

Commercial Insurance / Payer ID Health America

I71009 (PA)

Commercial Insurance / Payer ID Aetna Hmo

1574107 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

50066312 (PA)

Commercial Insurance / Payer ID Aetna Non-Hmo

7167924 (PA)

Hospital & Practice Group Affiliations

Lancaster General Medical Group

2110 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7175443191

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Anthony Samphilipo , DO

Internal Medicine

NPI 1053301663

Doctor of Osteopathic Medicine (D.O.)

Dr. Bradford Granger , MD

Internal Medicine

NPI 1083603526

Doctor of Medicine (M.D.)

Dr. Tuc To , MD

Internal Medicine

NPI 1134651946

Doctor of Medicine (M.D.)

Aaron Hiller

Internal Medicine

NPI 1205499985

Dr. Thuy Hoang , DO

Internal Medicine

NPI 1225027402

Doctor of Osteopathic Medicine (D.O.)

Lilyan Hawbecker , PA-C

Physician Assistant

NPI 1285479733

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 06, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2007

Registered at 2110 HARRISBURG PIKE, SUITE 100, LANCASTER, PA 176012644 (Tel: 7175443191)

📍

Updated Business Mailing Address September 06, 2007

Registered at 2110 HARRISBURG PIKE, SUITE 100, LANCASTER, PA 176012644 (Tel: 7175443191)

👤

Provider Name / Credentials Updated September 06, 2007

Recorded as MARK SIMMONS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2007

Internal Medicine (License #MD064373L in PA)

🟢

Initial NPI Registration & Enumeration November 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619959285

Entity Type:

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

Enumeration Date: November 18, 2005

Last Update: September 06, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2110 Harrisburg Pike, Suite 100

Lancaster, PA 176012644

Phone: 7175443191

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.