James Simmons, D.O.

NPI 1043519853ActiveIndividual· Hospitalist· Fresno, CA

Hospitalist (D.O.) in Fresno, California, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2011). In 2024 Medicare paid $89,321 for 396 patients, and Part D covered 360 of their prescriptions, 87% of them generic. Braeburn Inc. reported $125.54 in payments in 2025, mostly food and beverage.

Overview

NPI	1043519853
Status	Active
Entity type	Individual
Credential	D.O.
Sole proprietor	No
NPI issued	Mar 18, 2011
Last updated in NPPES	Nov 1, 2018

Specialties and licenses

Taxonomy	Code	License	State
Hospitalist Primary	208M00000X	20A12478	CA
Internal Medicine	207R00000X	20A12478	CA
Internal Medicine, Hospice and Palliative Medicine	207RH0002X	20A12478	CA

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Hospitalist (CA); Practitioner - Hospitalist (IN)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	396
Services billed	957 across 10 procedure codes
Paid by Medicare	$89,321

Part D prescriptions in 2024

Prescriptions (claims)	360 · 374 30-day fills
Patients	158
Total drug cost	$15,598
Generic share	87% of claims

Medicare sources and data years

Education and affiliations

Medical school	At Still University of Health Sciences, College of Osteo Med, Kirksville
Graduation year	2011
Medicare specialty	Hospitalist
Secondary specialties	Hospice/Palliative Care, Internal Medicine