Dr. John Simmons, MD
4230 Harding Pike Ste 200, Nashville, TN 37205 • +1-262-555-5474
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Nashville Percentiles
NPI #1235662768 • CBSA 34980 • Pulmonary Disease
Statistical peer benchmarking across TN Pulmonary Disease providers positions Dr. John Simmons, MD in Nashville at -0.30σ (36.11th city percentile / 32.26th state percentile, 389 Medicare beneficiaries), with clinical focus spanning 49 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 4230 Harding Pike Ste 200 shows Dr. John Simmons's primary concentration in Established Pulmonary, Asthma & COPD Management (code 99214: 462x/yr, 36.11th local percentile) alongside Pre- & Post-Bronchodilator Spirometry Airflow Evaluation (94060: 259x/yr, $130–$178).
Self-pay new patient consultations with Dr. Simmons (CPT 99204 GPCI-adjusted benchmark) estimate around $202.00 (community reported average: $202.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.82/5 modern protocol openness score across 22 patient logs.
From 4230 Harding Pike Ste 200 in Nashville (+1-262-555-5474), Dr. Simmons, MD (33-year clinical track record) delivers 49 Active CMS HCPCS Codes care.
Compared against Nashville, TN Pulmonary Disease peers
1,126 annual services across 389 beneficiaries
Standard deviations from TN Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 462 | 36.11th | $199 – $273 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 259 | 32.11th | $130 – $178 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 191 | 34.11th | $118 – $161 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 124 | 35.11th | $363 – $498 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 90 | 34.11th | $280 – $384 |
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Dr. John Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1235662768 (MD) | CMS NPPES Registry (37205) |
| Dr. Simmons Nashville CMS Volume Rank | 36.11th Pct (1,126 CMS svcs; Z -0.304σ) | CMS Medicare Part B (TN Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $202.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Nashville, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $202.00 avg paid • 12 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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