Active NPI 1639112683 Individual Practitioner Female Practitioner

Dr. Edith M Simmons , MD

Internal Medicine - Nephrology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edith Simmons, MD is a certified Internal Medicine - Nephrology practicing in Austin, TX. With approximately 29 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1997, Dr. Simmons delivers high-quality medical care to the local community at 321 W BEN WHITE BLVD.

Dr. Simmons is affiliated with Preventative Care Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, injection, epoetin alfa, (for non-esrd use), 1000 units, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

321 W Ben White Blvd
Ste 205

Austin, TX 787047087

Telephone 5124515800

Fax 5124591399

Associated Practice Facility / Clinic

🏢 Pharmerica Inc Facility NPI 1609036995

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +2.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Austin, TX (1192 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (29 Years) 29 Yrs

Austin Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	17	15	$12.00	$3.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	29	20	$12.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,110	15	$25.00	$11.66
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	367	78	$1800.00	$287.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	88	$190.00	$108.61
90966 Home dialysis services per month, patient 20 years of age or older	109	32	$1800.00	$233.86
99213 Established patient office or other outpatient visit, typically 15 minutes	74	69	$130.00	$75.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	15	$50.00	$17.05
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	35	28	$1200.00	$242.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	3,697	29	$25.00	$12.43
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	716	104	$1800.00	$282.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	137	$190.00	$104.95
90966 Home dialysis services per month, patient 20 years of age or older	157	32	$1800.00	$231.28
99213 Established patient office or other outpatient visit, typically 15 minutes	122	91	$130.00	$72.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	29	$50.00	$20.75
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	88	47	$1200.00	$237.73
90935 Hemodialysis procedure with physician evaluation	20	11	$210.00	$72.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$164.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$255.00	$145.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$130.00	$72.50
81002 Urinalysis, manual test	11	11	$15.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	2,823	29	$25.00	$12.92
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	809	118	$1800.00	$279.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	200	$190.00	$104.60
90970 Dialysis services, per day, less than full month service (20 years or older)	214	13	$58.64	$7.71
90966 Home dialysis services per month, patient 20 years of age or older	177	26	$1800.00	$234.15
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	135	63	$1200.00	$234.66
99213 Established patient office or other outpatient visit, typically 15 minutes	125	92	$130.00	$72.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	29	$50.00	$25.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$300.00	$159.29
81002 Urinalysis, manual test	30	30	$15.00	$3.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$255.00	$144.28

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX L9483

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

170593103 (TX)

Hospital & Practice Group Affiliations

Preventative Care Health Services Inc

1605 N Ft Davis Hwy, Alpine, TX 798302140

Phone: 4328374555

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Allison Miller , MD

Internal Medicine - Nephrology

NPI 1003379439

Doctor of Medicine (M.D.)

Teresa Kacerguis , APRN, ACNS-BC

Nurse Practitioner - Family

NPI 1043575806

Advanced Practice Registered Nurse, ACNSBC

Dr. Timothy Hines , MD

Internal Medicine - Nephrology

NPI 1063446359

Doctor of Medicine (M.D.)

Ron Mccall , FNP-C

Nurse Practitioner - Family

NPI 1073270914

Family Nurse Practitioner (Certified)

Allison Lamm , APRN, FNP-C

Nurse Practitioner - Adult Health

NPI 1104588359

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Ashvin Baru , MD

Internal Medicine - Nephrology

NPI 1114216009

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2015

Registered at 321 W BEN WHITE BLVD, STE 205, AUSTIN, TX 787047087 (Tel: 5124515800)

📍

Updated Business Mailing Address July 17, 2015

Registered at 408 W 45TH ST, AUSTIN, TX 787513014 (Tel: 5124515800)

👤

Provider Name / Credentials Updated July 17, 2015

Recorded as EDITH SIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2015

Internal Medicine (License #L9483 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639112683

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: July 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

408 W 45th St

Austin, TX 787513014

Phone: 5124515800

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.