Active NPI 1942582929 Individual Practitioner Male Practitioner

Dr. John Caleb Simmons , MD

Otolaryngology • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Simmons, MD is a certified Otolaryngology practicing in Austin, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Simmons delivers high-quality medical care to the local community at 3816 S 1ST ST.

Dr. Simmons is affiliated with Austin Regional Clinic Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, 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

3816 S 1st St

Austin, TX 787047048

Telephone 5124431311

Fax 5124066266

Associated Practice Facility / Clinic

🏢 Austin Regional Clinic, Pa Facility NPI 1568949360

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -7.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

54 Specialists

Practicing in Austin, TX (840 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (15 Years) 15 Yrs

Austin Specialty Average (22.5 Years) 22.5 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
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	109	78	$31.00	$16.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	60	$238.00	$122.29
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$168.00	$85.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$295.00	$161.29
69210 Removal of impacted ear wax	24	21	$96.00	$46.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$198.67	$111.61
31575 Diagnostic exam of voice box using a flexible endoscope	18	18	$269.00	$130.73

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	73	56	$238.00	$125.69
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$168.00	$85.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$295.00	$166.60
69210 Removal of impacted ear wax	26	21	$96.00	$47.09
31575 Diagnostic exam of voice box using a flexible endoscope	18	18	$269.00	$130.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$194.00	$112.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$103.00	$57.27

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	86	62	$238.00	$128.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$295.00	$163.13
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$168.00	$89.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$194.00	$113.55
69210 Removal of impacted ear wax	34	27	$96.00	$44.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$103.00	$57.53
31575 Diagnostic exam of voice box using a flexible endoscope	24	22	$242.00	$127.67

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	75	50	$203.04	$129.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$295.00	$164.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$194.00	$113.12
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$143.33	$91.51
69210 Removal of impacted ear wax	51	47	$96.00	$48.49
31575 Diagnostic exam of voice box using a flexible endoscope	36	33	$242.00	$125.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$85.55	$58.50
87070 Bacterial culture	14	13	$39.00	$8.62
31231 Diagnostic examination of nasal passages using an endoscope	14	13	$414.00	$188.75
87205 Special gram or giemsa stain for microorganism	13	12	$20.00	$4.27
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	12	11	$45.00	$25.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	12	11	$134.00	$75.00

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	75	56	$192.00	$109.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$295.00	$165.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$194.00	$108.95
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$131.00	$74.71
69210 Removal of impacted ear wax	30	27	$94.60	$49.03
31575 Diagnostic exam of voice box using a flexible endoscope	21	20	$242.00	$125.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$79.00	$46.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$149.88	$73.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$228.50	$109.00
69210 Removal of impacted ear wax	44	40	$124.93	$46.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$323.00	$152.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$200.14	$107.76
31575 Diagnostic exam of voice box using a flexible endoscope	26	23	$425.62	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	87	$147.19	$72.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$224.52	$108.44
69210 Removal of impacted ear wax	67	48	$131.85	$49.15
31575 Diagnostic exam of voice box using a flexible endoscope	36	35	$512.17	$109.05
31575 Diagnostic exam of voice box using a flexible endoscope	15	14	$508.20	$52.41
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$204.79	$102.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	80	$146.00	$72.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$217.00	$109.16
69210 Removal of impacted ear wax	82	62	$127.00	$47.86
31575 Diagnostic exam of voice box using a flexible endoscope	47	43	$481.00	$110.55
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$200.00	$102.55

Medical Specialties & State Licenses

CMS Verified: 2025-01-07

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License TX Q7965

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License TX BP10039761

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

360710306 (TX)

Medicaid State Provider ID

360710305 (TX)

Hospital & Practice Group Affiliations

Austin Regional Clinic Pa

940 Hesters Crossing Rd, Round Rock, TX 786818018

Phone: 5122449024

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Scott Broberg , MD

Pediatrics

NPI 1003822727

Doctor of Medicine (M.D.)

Dr. William Blunk , AuD

Audiologist

NPI 1013466044

Doctor of Audiology

Dr. Honor Canon , MD

Pediatrics

NPI 1043210347

Doctor of Medicine (M.D.)

Dr. Jordan Hartman , MD

Family Medicine

NPI 1053975060

Doctor of Medicine (M.D.)

Christina Thompson , PT

Physical Therapist

NPI 1073629705

Physical Therapist

Dr. Susan Callaway , MD

General Practice

NPI 1083620363

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address January 07, 2025

Registered at 6210 E HIGHWAY 290 STE 240, AUSTIN, TX 787231144 (Tel: 5124839569)

📍

Updated Practice Location August 08, 2019

Registered at 3816 S 1ST ST, AUSTIN, TX 787047048 (Tel: 5124431311)

📍

Updated Business Mailing Address August 08, 2019

Registered at 6210 E HIGHWAY 290 STE 420, AUSTIN, TX 787231142 (Tel: 5124839569)

✅

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2016

Registered at 6431 FANNIN ST, MSB 5.036, HOUSTON, TX 770301501 (Tel: 7135005414)

📍

Updated Business Mailing Address September 13, 2016

Registered at 6431 FANNIN ST, MSB 5.036, HOUSTON, TX 770301501 (Tel: 7135005414)

👤

Provider Name / Credentials Updated September 13, 2016

Recorded as JOHN SIMMONS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Otolaryngology (License #BP10039761 in TX)

🟢

Initial NPI Registration & Enumeration September 15, 2011

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: 1942582929

Entity Type:

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

Enumeration Date: September 15, 2011

Last Update: January 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6210 E Highway 290 Ste 240

Austin, TX 787231144

Phone: 5124839569

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.