Marc D. Simmons, M.D.
NPI 1164408506ActiveIndividual· Emergency Medicine· Lawrence, MA
Emergency Medicine (M.D.) with Community Medical Associates, Inc., practicing in Lawrence, Massachusetts. 434 Medicare patients in 2024, $52,954 paid; nearly all of their 346 Part D prescriptions were generic (98%). Lists Carle Richland Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164408506 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2005 |
| Last updated in NPPES | Jul 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 204773 | MA |
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 - Emergency Medicine (IL); Practitioner - Emergency Medicine (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 434 |
|---|---|
| Services billed | 552 across 22 procedure codes |
| Paid by Medicare | $52,954 |
Part D prescriptions in 2024
| Prescriptions (claims) | 346 · 349 30-day fills |
|---|---|
| Patients | 254 |
| Total drug cost | $1,782 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Community Medical Associates, Inc.Haverhill, MA · 157 clinicians
Hospital affiliations
- Carle Richland Memorial HospitalOlney, IL
- Holy Family HospitalMethuen, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 emergency medicine physicians in Lawrence · All emergency medicine physicians in Massachusetts