Dr. James Edwards Simmons, MD
- Medicare services, 2024
- 321
- Medicare patients, 2024
- 168
- Part D claims, 2024
- 12
- Hospital affiliations
- 2
- Medical groups
- 3
- Practice address
- 593 Eddy St, Providence, RI 02903
- Practice phone
- Call (401) 444-6966
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Rhode Island Hospital/Hasbro Children's
Providence, Rhode Island
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Dr. James Edwards Simmons is a pulmonologist in Providence, Rhode Island
Dr. Simmons practices at Rhode Island Hospital/Hasbro Children's in Providence, Rhode Island.
Dr. Simmons' NPI, 1538402557, was assigned on March 27, 2013. Dr. Simmons graduated from Warren Alpert Medical School of Brown University in 2013. Dr. Simmons holds Rhode Island license MD16685.
- NPI
- 1538402557NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5193957009
- NPI enumeration date
- March 27, 2013
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (401) 444-6966
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 39
- Medical school graduation
- 2013
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James Edwards Simmons practices at Rhode Island Hospital/Hasbro Children's in Providence, Rhode Island
Dr. Simmons' primary practice is Rhode Island Hospital/Hasbro Children's, at 593 Eddy St, Providence, RI 02903 in Providence County. The practice phone is (401) 444-6966.
- Rhode Island Hospital/Hasbro Children's593 Eddy St, Providence, RI 02903 · Providence CountyPhone(401) 444-6966
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. James Edwards Simmons is affiliated with 4 sites of care and 3 medical groups
Dr. Simmons' primary practice is Rhode Island Hospital/Hasbro Children's in Providence, Rhode Island. Dr. Simmons is also affiliated with The Miriam Hospital. The medical group on file is Brown Medicine. Dmand AI also links Dr. Simmons to 1 more hospital, 2 medical groups and 1 hospice, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. James Edwards Simmons' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Simmons practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Rhode Island Hospital/Hasbro Children's | Available with a free account |
| +3 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James Edwards Simmons is one of 56 pulmonologists in Rhode Island
Pulmonary disease is Dr. Simmons' primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Simmons is licensed in Rhode Island.
Specialties and state licenses
- Pulmonary disease, Rhode IslandPrimary
Pulmonologists near Dr. Simmons
Counts of pulmonologists 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 Edwards Simmons billed Medicare for 321 services in 2024
CMS data shows 321 Medicare services from Dr. Simmons across 9 procedure codes in 2024, for 168 Medicare patients. Medicare paid $34,088 for them.
Dr. Simmons' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 2532024: 21316%
- Tests and treatments
- 2023: 1082024: 108No change
Where Dr. Simmons' Medicare services took place, 2024
- In an office8627%
- In a facility23573%
Dr. Simmons compared with the Rhode Island median for pulmonologists, 2024
- Dr. Simmons
- Rhode Island median
- Medicare services
- 321vs 35610% below
- Medicare patients
- 168vs 1828% below
- Part D claims
- 11vs 75999% below
Medians across 57 pulmonologists in Rhode Island 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 Edwards Simmons treated 168 Medicare patients in 2024, average age 75
CMS counts 168 Medicare patients who saw Dr. Simmons in 2024. The largest group is 75 to 84, with 82 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 18% are also on Medicaid. Their average risk score is 2.56, 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 68, with 58% women.
Dr. Simmons' Medicare patients by age, 2024
Dr. Simmons' Medicare patients by sex, 2024
- Women8249%
- Men8651%
Chronic conditions among Dr. Simmons' Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis51%
- Heart failure51%
- Anxiety48%
- Atrial fibrillation47%
- COPD45%
- Chronic kidney disease45%
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 68
Patient panel by sex, all payers
- Women58%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James Edwards Simmons wrote 12 Medicare Part D claims in 2024
In 2024, Dr. Simmons wrote 12 Medicare Part D claims. 0% of them were for generic drugs. CMS names the drug for 11 of them, across 1 drug with 11 or more claims each, at $5,829 in total drug cost. In 2019, CMS named 12 claims across 1 drug.
Dr. Simmons' most prescribed drugs by claims, 2022
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2019 to 2022
- 2019
- 2022
- Claims for drugs CMS names
- 2019: 122022: 118%
Drugs named by CMS: 1 in 2022, 1 in 2019.
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
How Dr. James Edwards Simmons takes part in Medicare
Dr. Simmons accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. James Edwards Simmons graduated from Warren Alpert Medical School of Brown University
Dr. Simmons graduated from Warren Alpert Medical School of Brown University in 2013.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. James Edwards 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 | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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) |
| Training, board certification and memberships | Dmand AI Professional Profile 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 Edwards 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 Edwards Simmons' NPI number?
Dr. James Edwards Simmons' NPI number is 1538402557. It was assigned on March 27, 2013, and it is active in the NPI Registry.
What kind of doctor is Dr. James Edwards Simmons?
Dr. James Edwards Simmons is a pulmonologist in Providence, Rhode Island. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. James Edwards Simmons practice?
Dr. Simmons practices at 593 Eddy St, Providence, RI 02903. Dr. Simmons' primary practice is Rhode Island Hospital/Hasbro Children's in Providence, Rhode Island. Dmand AI also links Dr. Simmons to 1 hospital, 2 medical groups and 1 hospice.
What is Dr. James Edwards Simmons' office phone number?
The practice phone on file for Dr. Simmons is (401) 444-6966.
What is Dr. James Edwards Simmons' medical license number?
Dr. Simmons holds Rhode Island license MD16685.
Which hospitals is Dr. James Edwards Simmons affiliated with?
Dr. Simmons is affiliated with The Miriam Hospital. Dmand AI links Dr. Simmons to 1 more hospital.
What medical group is Dr. James Edwards Simmons part of?
Dr. Simmons is linked to Brown Medicine. Dmand AI links Dr. Simmons to 2 more medical groups.
Does Dr. James Edwards Simmons accept Medicare?
Yes. CMS data shows Dr. Simmons billed Medicare for 321 services in 2024, and Dr. Simmons accepts Medicare assignment.
How many Medicare patients does Dr. James Edwards Simmons see?
CMS counts 168 Medicare patients who saw Dr. Simmons in 2024, with an average age of 75.
What services does Dr. James Edwards Simmons bill to Medicare?
In 2024, Dr. Simmons' most billed Medicare services were critical care (99291), hospital inpatient care (99233) and lung function service (94729).
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Where did Dr. James Edwards Simmons go to medical school?
Dr. Simmons graduated from Warren Alpert Medical School of Brown University in 2013.
What drugs does Dr. James Edwards Simmons prescribe most?
In 2022 Medicare Part D data, Dr. Simmons' most prescribed drugs by claims were Spiriva Handihaler.
How long has Dr. James Edwards Simmons been practicing?
Dr. Simmons graduated from medical school in 2013, 13 years ago.
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