Active NPI 1124146113 Individual Practitioner Male Practitioner

Dr. Ralph Edward Simms , DO

General Practice • Glen Daniel, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Simms, DO is a certified General Practice practicing in Glen Daniel, WV. With approximately 38 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 1988, Dr. Simms delivers high-quality medical care to the local community at 6435 HARPER RD.

Dr. Simms accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6435 Harper Rd

Glen Daniel, WV 25844

Telephone 3049346400

Fax 3049347400

Associated Practice Facility / Clinic

🏢 Dr Ralph E Simms Inc Facility NPI 1205948528

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Glen Daniel, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs Matches City Avg

City Avg: 38.0 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Glen Daniel, WV (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simms (38 Years) 38 Yrs

Glen Daniel Specialty Average (38.0 Years) 38.0 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	377	112	$150.00	$112.54
36415 Insertion of needle into vein for collection of blood sample	277	114	$10.00	$8.51
99213 Established patient office or other outpatient visit, typically 15 minutes	208	104	$99.76	$79.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	153	47	$30.00	$12.28
J0696 Injection, ceftriaxone sodium, per 250 mg	61	23	$55.90	$0.46
81003 Automated urinalysis test	61	34	$15.00	$2.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	15	$25.00	$0.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$65.00	$48.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$154.55	$109.09

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	469	136	$150.00	$119.02
36415 Insertion of needle into vein for collection of blood sample	348	138	$10.00	$8.27
99213 Established patient office or other outpatient visit, typically 15 minutes	256	109	$100.00	$83.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	212	46	$30.00	$12.93
J0696 Injection, ceftriaxone sodium, per 250 mg	100	22	$55.00	$0.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	97	13	$20.00	$1.63
81003 Automated urinalysis test	83	40	$15.00	$2.20
J1885 Injection, ketorolac tromethamine, per 15 mg	48	13	$60.00	$0.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	14	$25.00	$1.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$150.00	$120.22
69210 Removal of impacted ear wax	13	12	$65.00	$42.99

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	572	153	$150.00	$119.23
36415 Insertion of needle into vein for collection of blood sample	392	142	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	304	127	$100.00	$85.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	201	66	$30.00	$13.23
J1885 Injection, ketorolac tromethamine, per 15 mg	141	17	$31.49	$0.52
J0696 Injection, ceftriaxone sodium, per 250 mg	112	31	$55.00	$0.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	65	13	$20.00	$1.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	24	$25.00	$1.13
81003 Automated urinalysis test	55	37	$15.00	$2.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$65.00	$53.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$150.00	$124.04
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	11	11	$60.00	$25.02

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	718	194	$150.00	$122.71
36415 Insertion of needle into vein for collection of blood sample	522	189	$10.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	268	133	$100.00	$86.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	253	76	$30.00	$13.14
J1885 Injection, ketorolac tromethamine, per 15 mg	226	27	$30.00	$0.47
J0696 Injection, ceftriaxone sodium, per 250 mg	80	26	$55.00	$0.54
81003 Automated urinalysis test	60	39	$14.83	$2.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	18	$25.00	$1.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$150.00	$125.72
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	27	26	$35.00	$24.81
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	20	19	$78.00	$49.72
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	19	17	$60.00	$25.41
90471 Administration of 1 vaccine	16	16	$30.00	$15.63
69210 Removal of impacted ear wax	15	14	$58.00	$42.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$107.31

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	770	219	$149.87	$102.90
36415 Insertion of needle into vein for collection of blood sample	489	197	$10.08	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	267	86	$30.00	$13.35
99213 Established patient office or other outpatient visit, typically 15 minutes	242	148	$99.67	$70.58
J1885 Injection, ketorolac tromethamine, per 15 mg	218	29	$30.00	$0.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$195.78	$109.48
J0696 Injection, ceftriaxone sodium, per 250 mg	76	27	$55.00	$0.59
81003 Automated urinalysis test	51	38	$15.00	$2.24
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	48	46	$60.00	$29.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	18	$25.00	$1.45
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$100.00	$98.26
G0009 Administration of pneumococcal vaccine	26	26	$31.54	$15.54
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	20	19	$60.00	$14.71
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	16	13	$35.00	$25.63

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	370	112	$150.00	$93.81
99213 Established patient office or other outpatient visit, typically 15 minutes	262	145	$100.19	$66.34
36415 Insertion of needle into vein for collection of blood sample	237	118	$10.00	$2.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	165	53	$30.00	$14.78
J1885 Injection, ketorolac tromethamine, per 15 mg	132	17	$30.00	$0.53
J0696 Injection, ceftriaxone sodium, per 250 mg	60	25	$55.00	$0.55
81003 Automated urinalysis test	25	21	$15.00	$2.44

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	467	136	$150.00	$92.85
36415 Insertion of needle into vein for collection of blood sample	279	139	$10.00	$2.86
99213 Established patient office or other outpatient visit, typically 15 minutes	269	145	$100.56	$63.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	226	62	$30.40	$17.41
J1885 Injection, ketorolac tromethamine, per 15 mg	180	21	$30.00	$0.58
J0696 Injection, ceftriaxone sodium, per 250 mg	54	23	$55.00	$0.63
81003 Automated urinalysis test	29	19	$15.00	$2.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$65.00	$35.80

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	545	156	$150.00	$91.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	355	82	$30.00	$21.10
36415 Insertion of needle into vein for collection of blood sample	327	146	$10.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	310	148	$100.16	$63.40
J1885 Injection, ketorolac tromethamine, per 15 mg	196	29	$30.00	$0.63
J3415 Injection, pyridoxine hcl, 100 mg	180	12	$20.00	$10.68
J0696 Injection, ceftriaxone sodium, per 250 mg	81	30	$55.00	$0.66
81003 Automated urinalysis test	40	31	$15.00	$3.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	17	$25.00	$1.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$65.00	$37.50
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$97.50	$63.77
82044 Urine microalbumin (protein) analysis	11	11	$50.00	$6.15

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WV 1206

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License WV 1206

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5630471000 (WV)

Commercial Insurance / Payer ID Company Npi Fox Systems

1205948528 (WV)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Courtney Epling , PA

Physician Assistant

NPI 1407180599

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2007

Registered at 6435 HARPER RD, GLEN DANIEL, WV 25844 (Tel: 3049346400)

📍

Updated Business Mailing Address July 18, 2007

Registered at RT 1 BOX 85, SANDSTONE, WV 25985 (Tel: 3049346400)

👤

Provider Name / Credentials Updated July 18, 2007

Recorded as RALPH SIMMS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2007

Family Medicine (License #1206 in WV)

🟢

Initial NPI Registration & Enumeration March 27, 2007

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: 1124146113

Entity Type:

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

Enumeration Date: March 27, 2007

Last Update: July 18, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Rt 1 Box 85

Sandstone, WV 25985

Phone: 3049346400

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.