Physician

Scott C Simmons, MD

According to 2025 Medicare claims, Scott Simmons, MD (NPI: 1528175726) practices orthopedic surgery in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53158-1227. Simmons is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Simmons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 362 traditional Medicare patients, billed 7,091 HCPCS/CPT codes, and received $139,592 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 253 prescription claims across 182 beneficiaries totaling $1,551 in drug costs, led by Prednisone (Prednisone). 2016 DME data shows 13 claims. No Open Payments records. 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 declined steadily, from $194,048 to $139,592. Similarly, Part D prescription costs have declined steadily, from $3,556 to $1,551. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.