Dr. James Simmons, DO
- Medicare services, 2024
- 949
- Medicare patients, 2024
- 396
- Part D claims, 2024
- 360
- MIPS score, 2024
- 100
- Hospital affiliations
- 3
- Practice address
- 115 Mall Drive, Hanford, CA 93230
- Practice phone
- Call (559) 582-9000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Simmons' professional email, personal email and mobile number
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Dr. James Simmons is a hospitalist in Hanford, California
Dr. Simmons practices at Adventist Health Hanford in Hanford, California, part of Adventist Health.
Dr. Simmons' NPI, 1043519853, was assigned on March 18, 2011. Dr. Simmons graduated from Arizona School of Dentistry and Oral Health - Mesa in 2011. Dr. Simmons' California license number on file is 20A12478.
- NPI
- 1043519853NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4981928769
- NPI enumeration date
- March 18, 2011
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (559) 582-9000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 41
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James Simmons practices at Adventist Health Hanford in Hanford, California
Dr. Simmons' primary practice is Adventist Health Hanford, at 115 Mall Drive, Hanford, CA 93230 in Kings County. The practice phone is (559) 582-9000.
- Adventist Health Hanford115 Mall Drive, Hanford, CA 93230 · Kings CountyPhone(559) 582-9000
Source: Dmand AI Affiliation Data
Dr. James Simmons is affiliated with 7 sites of care and 5 medical groups
Dr. Simmons' primary practice is Adventist Health Hanford in Hanford, California, part of Adventist Health. Dr. Simmons is also affiliated with Saint Agnes Medical Center. The medical group on file is Vituity. Dmand AI also links Dr. Simmons to 1 more hospital, 4 medical groups, 3 group practices and clinics and 1 hospice, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. James Simmons' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simmons practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Adventist Health Hanford | Available with a free account |
| +6 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. James Simmons is one of 3,186 hospitalists in California
Hospitalist is Dr. Simmons' primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Simmons is board certified in hospice and palliative medicine by the American Board of Internal Medicine. Dr. Simmons has a license on file in California.
Specialties and state licenses
- Hospitalist, CaliforniaPrimary
Clinical focus
Dmand AI lists acute respiratory failure, cardiac arrhythmia, cellulitis, circulatory problems in extremities, congestive heart failure, electrolyte disorders, gastrointestinal bleeding and gastrointestinal inflammation among the conditions Dr. Simmons treats.
Hospitalists near Dr. Simmons
Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James Simmons billed Medicare for 949 services in 2024
CMS data shows 949 Medicare services from Dr. Simmons across 6 procedure codes in 2024, for 396 Medicare patients. Medicare paid $88,149 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Simmons' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,0552024: 94910%
Dr. Simmons compared with the California median for hospitalists, 2024
- Dr. Simmons
- California median
- Medicare services
- 949vs 4302.2 times
- Medicare patients
- 396vs 20197% above
- Part D claims
- 117vs 6970% above
Medians across 2,991 hospitalists in California with Dmand AI profiles that report each measure.
Dr. Simmons' most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James Simmons treated 396 Medicare patients in 2024, average age 77
CMS counts 396 Medicare patients who saw Dr. Simmons in 2024. The largest group is 75 to 84, with 140 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 61% are also on Medicaid. Their average risk score is 2.93, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Simmons' median patient age at 74, with 51% women.
Dr. Simmons' Medicare patients by age, 2024
Dr. Simmons' Medicare patients by sex, 2024
- Women21254%
- Men18446%
Chronic conditions among Dr. Simmons' Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes63%
- Chronic kidney disease59%
- Arthritis54%
- Ischemic heart disease53%
- Heart failure52%
- Atrial fibrillation37%
Share of Medicare patients with each condition. A patient can have several.
Dr. Simmons' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 74
Patient panel by sex, all payers
- Women51%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James Simmons wrote 360 Medicare Part D claims in 2024
In 2024, Dr. Simmons wrote 360 Medicare Part D claims for 158 patients. 87% of them were for generic drugs. CMS names the drug for 117 of them, across 8 drugs with 11 or more claims each, at $7,790 in total drug cost. In 2023, CMS named 94 claims across 7 drugs.
Dr. Simmons' Part D claims by kind of drug, 2024
- Generic314 claims87%
- Brand-name and other46 claims13%
Dr. Simmons' most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Simmons' Part D claims, 2024
- Opioids6%23 of 360 claims
- Antibiotics12%43 of 360 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 942024: 11724%
Drugs named by CMS: 8 in 2024, 7 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. James Simmons scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Simmons for performance year 2024, reported as part of a group. Dr. Simmons accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Simmons' MIPS scores, performance year 2024
- 100of 100Final score
- 100of 100Quality
- 96of 100Promoting Interoperability
- 40of 100Improvement Activities
- 87of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. James Simmons received $743 in industry payments from 2016 to 2025
CMS Open Payments shows 13 general payments to Dr. Simmons from 7 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 87% of the total. Janssen Pharmaceuticals, Inc paid the most, $163.
General payments to Dr. Simmons by program year, 2016 to 2025
General payments to Dr. Simmons by kind, 2016 to 2025
- Food and beverage$64887%
- Gifts$9513%
Companies that paid Dr. Simmons the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James Simmons graduated from Arizona School of Dentistry and Oral Health - Mesa
Dr. Simmons graduated from Arizona School of Dentistry and Oral Health - Mesa in 2011.
- Medical school
- Board certified in hospice and palliative medicine
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. James Simmons accepts plans from 13 insurance carriers
Dr. Simmons is in network with 13 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Humana
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Regence Health Plans
- Aspirus Health Plan
- +5 more carriersWith a free account
Plan types Dr. Simmons accepts, by number of carriers
- PPO9
- Medicare8
- HMO4
- POS4
- EPO3
Source: Dmand AI Insurance Network Data
Sources for Dr. James Simmons's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. James Simmons
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. James Simmons' NPI number?
Dr. James Simmons' NPI number is 1043519853. It was assigned on March 18, 2011, and it is active in the NPI Registry.
What kind of doctor is Dr. James Simmons?
Dr. James Simmons is a hospitalist in Hanford, California. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).
Where does Dr. James Simmons practice?
Dr. Simmons practices at 115 Mall Drive, Hanford, CA 93230. Dr. Simmons' primary practice is Adventist Health Hanford in Hanford, California, part of Adventist Health. Dmand AI also links Dr. Simmons to 1 hospital, 4 medical groups, 3 group practices and clinics and 1 hospice.
What is Dr. James Simmons' office phone number?
The practice phone on file for Dr. Simmons is (559) 582-9000.
What is Dr. James Simmons' medical license number?
Dr. Simmons' California license number on file is 20A12478.
Which hospitals is Dr. James Simmons affiliated with?
Dr. Simmons practices at Adventist Health Hanford in Hanford, California. Dr. Simmons is also affiliated with Saint Agnes Medical Center. Dmand AI links Dr. Simmons to 1 more hospital.
What medical group is Dr. James Simmons part of?
Dr. Simmons is linked to Vituity. Dmand AI links Dr. Simmons to 4 more medical groups.
Does Dr. James Simmons accept Medicare?
Yes. CMS data shows Dr. Simmons billed Medicare for 949 services in 2024, and Dr. Simmons accepts Medicare assignment.
What is Dr. James Simmons' MIPS score?
Dr. Simmons' MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
How many Medicare patients does Dr. James Simmons see?
CMS counts 396 Medicare patients who saw Dr. Simmons in 2024, with an average age of 77.
Show 7 more questionsShow fewer questions
Is Dr. James Simmons board certified?
Yes. Dr. Simmons is board certified in hospice and palliative medicine by the American Board of Internal Medicine.
What services does Dr. James Simmons bill to Medicare?
In 2024, Dr. Simmons' most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99223) and hospital inpatient care (99232).
Where did Dr. James Simmons go to medical school?
Dr. Simmons graduated from Arizona School of Dentistry and Oral Health - Mesa in 2011.
What drugs does Dr. James Simmons prescribe most?
In 2024 Medicare Part D data, Dr. Simmons' most prescribed drugs by claims were Escitalopram Oxalate, Tamsulosin HCl and Levothyroxine Sodium.
Has Dr. James Simmons received payments from drug or device companies?
CMS Open Payments shows $743 in general payments to Dr. Simmons from 7 companies from 2016 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. James Simmons been practicing?
Dr. Simmons graduated from medical school in 2011, 15 years ago.
What insurance does Dr. James Simmons accept?
Dr. Simmons is in network with 13 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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