Physician

Peter Simmons, MD

According to 2025 Medicare claims, Peter Simmons, MD (NPI: 1265636575) practices diagnostic radiology in the Lafayette-West Lafayette, IN market, with the plurality of this provider's patient population coming from Tippecanoe, IN. This provider's primary affiliated billing organization is UNITY HEALTHCARE, LLC (NPI: 1417909896; TIN: 351948578) and primary practice location at 47905-7433. Simmons is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Simmons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,441 traditional Medicare patients, billed 28,115 HCPCS/CPT codes, and received $409,512 in Medicare payments. The top billing code was 74177 (Ct scan of abdomen and pelvis with contrast). Part D data shows 12 prescription claims totaling $59 in drug costs, led by Methylprednisolone (Methylprednisolone). Open Payments data shows 8 records totaling $166. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $777,919 and ending at $409,512. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $328 to $59. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,992	51,096	$777,919
2016	1,362	39,359	$735,362
2017	1,459	42,299	$715,160
2018	1,558	38,230	$777,982
2019	1,598	46,942	$911,535
2020	1,294	43,681	$654,146
2021	2,052	52,271	$818,081
2022	1,819	50,418	$653,191
2023	1,937	49,159	$640,157
2024	1,441	28,115	$409,512

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	30	34	$328
2016	42	43	$510
2017	13	14	$124
2018	22	22	$160
2019	13	14	$97
2020	N/R	12	$88
2021	N/R	12	$95
2022	N/R	13	$118
2023	18	20	$127
2024	N/R	12	$59

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
74177	Ct scan of abdomen and pelvis with contrast	164	187	$196
72148	Mri scan of lower spinal canal without contrast	176	179	$133
77085	Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment	145	145	$48
82565	Blood creatinine level	139	144	$5
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	248	23,747	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	11	20	$58

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$166	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Peter Simmons, MD?

Tedicare shows public-source Medicare data for Peter Simmons, MD (NPI 1265636575), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Peter Simmons, MD have ACO affiliation data?

Peter Simmons, MD is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Peter Simmons, MD?

Peter Simmons, MD is linked to UNITY HEALTHCARE, LLC (billing NPI 1417909896) in the available physician profile data.

Does Peter Simmons, MD have Open Payments data?

Peter Simmons, MD has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.