Physician

John Franklin Simmons, M.D

According to 2025 Medicare claims, John Simmons, M.D (NPI: 1922045905) practices family practice in the Dothan, AL market, with the plurality of this provider's patient population coming from Geneva, AL. This provider's primary affiliated billing organization is JOHN F. SIMMONS M.D. P.C (NPI: 1053425595; TIN: 63-1107327) and primary practice location at 36340-1634. Simmons is affiliated with the CHSPSC ACO 12, LLC (ACO ID: A3722) and Physician Partners ACO 2, LLC/Select Physicians Associates ACO (ACO ID: A5308), participating under the MSSP model.

Simmons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 341 traditional Medicare patients, billed 15,100 HCPCS/CPT codes, and received $266,540 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 17,069 prescription claims across 837 beneficiaries totaling $1,813,835 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 198 claims. Open Payments data shows 10 records totaling $180. 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 fallen sharply in recent years, from $618,589 to $266,540. In contrast, Part D prescription costs have risen steadily, from $1,477,394 to $1,813,835. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $69,965 to $21,152.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	866	20,523	$618,589
2016	880	21,773	$556,244
2017	786	23,933	$532,396
2018	699	24,166	$479,223
2019	662	24,516	$505,191
2020	592	24,068	$419,788
2021	572	16,696	$418,022
2022	462	16,245	$311,476
2023	400	17,530	$284,766
2024	341	15,100	$266,540

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	667	24,091	$1,477,394
2016	745	21,237	$1,167,095
2017	767	18,688	$1,051,788
2018	787	17,546	$1,207,941
2019	814	16,695	$1,317,552
2020	822	17,257	$1,357,109
2021	793	17,005	$1,479,605
2022	796	16,146	$1,533,675
2023	801	16,102	$1,832,684
2024	837	17,069	$1,813,835

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	479	1,682	$56,649
2016	442	1,477	$40,240
2017	289	1,031	$23,146
2018	222	910	$19,138
2019	166	847	$19,979
2020	106	616	$18,614
2021	99	642	$22,745
2022	56	366	$31,527
2023	12	305	$29,462
2024	N/R	198	$19,047

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	1,054	$76
99497	Advance care planning, first 30 minutes	177	177	$75
G0442	Annual alcohol misuse screening, 5 to 15 minutes	149	149	$17
36415	Insertion of needle into vein for collection of blood sample	222	551	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	169	8,361	$155,724
Mounjaro	Tirzepatide	145	4,128	$151,157
Ozempic	Semaglutide	134	4,434	$141,059
Eliquis	Apixaban	132	6,152	$116,393
Januvia	Sitagliptin Phosphate	98	5,005	$95,317

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	33	$11,581
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	31	$3,135
J7606	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms	N	N/R	12	$1,748
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	21	$843
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	17	$826

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$180	ABBVIE 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 John Franklin Simmons, M.D?

Tedicare shows public-source Medicare data for John Franklin Simmons, M.D (NPI 1922045905), 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 John Franklin Simmons, M.D have ACO affiliation data?

John Franklin Simmons, M.D is shown with ACO affiliation data for CHSPSC ACO 12, LLC (MSSP, ACO ID A3722) and Physician Partners ACO 2, LLC/Select Physicians Associates ACO (MSSP, ACO ID A5308).

What billing organization is linked to John Franklin Simmons, M.D?

John Franklin Simmons, M.D is linked to JOHN F. SIMMONS M.D. P.C (billing NPI 1053425595) in the available physician profile data.

Does John Franklin Simmons, M.D have Open Payments data?

John Franklin Simmons, M.D has 10 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.