Dr. Michael Simmons, MD
1241 W Stadium Blvd, Jefferson City, MO 65109 • +1-645-555-3401
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Jefferson City Percentiles
NPI #1366554586 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across MO Otolaryngology providers positions Dr. Michael Simmons, MD in Jefferson City at +1.25σ (50th city percentile / 97.32th state percentile, 842 Medicare beneficiaries), with clinical focus spanning 101 Active CMS HCPCS Codes.
Dr. Simmons's longitudinal care intensity (6.6 billed units per patient across 842 individuals) centers on 99213 (1884 annual units) and 31231 ($74–$101 cash range).
For out-of-network patients contacting +1-645-555-3401, Dr. Simmons's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.64/5 composite reality score over 3 submissions).
NPI registry verification (#1366554586) confirms Dr. Michael Simmons's MD standing serving CBSA 65109 with a 4.64/5 patient scorecard.
Compared against Jefferson City, MO Otolaryngology peers
5,541 annual services across 842 beneficiaries
Standard deviations from MO Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 1,884 | 50th | $37 – $52 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 1,385 | 55th | $74 – $101 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 1,053 | 53th | $54 – $74 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 720 | 47th | $26 – $41 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 499 | 51th | $25 – $40 |
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Dr. Michael Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1366554586 (MD) | CMS NPPES Registry (65109) |
| Dr. Simmons Jefferson City CMS Volume Rank | 50.00th Pct (5,541 CMS svcs; Z +1.249σ) | CMS Medicare Part B (MO Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Jefferson City, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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