Dr. Tony Simmons, MD
Medical Center Blvd, Winston Salem, NC 27157 • +1-539-555-6470
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1558348227 • CBSA Regional • Clinical Cardiac Electrophysiology
Anchored in Winston Salem, NC 27157, Dr. Tony Simmons, MD (NPI 1558348227) logged 7,089 annual procedures (top-decile high-throughput specialist (91.67th percentile in Winston Salem), 90.91th NC percentile, +1.66σ) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Simmons (averaging 1.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (3190 encounters), paired with 99213 (1843x).
At Medical Center Blvd (27157), Dr. Tony Simmons, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.71/5 bedside rating).
From Medical Center Blvd in Winston Salem (+1-539-555-6470), Dr. Simmons, MD (9-year clinical track record) delivers 32 Active CMS HCPCS Codes care.
Top 10% Clinical Cardiac Electrophysiology volume leader in Winston Salem, NC
7,089 annual services across 4,312 beneficiaries
Standard deviations from NC Clinical Cardiac Electrophysiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 3,190 | 91.67th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 1,843 | 90.67th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 922 | 96.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 709 | 93.67th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 425 | 91.67th | $60 – $83 |
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Dr. Tony Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1558348227 (MD) | CMS NPPES Registry (27157) |
| Dr. Simmons Winston Salem CMS Volume Rank | 91.67th Pct (7,089 CMS svcs; Z +1.658σ) | CMS Medicare Part B (NC Clinical Cardiac Electrophysiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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