Michael Grayson Simmons, MD
NPI 1225023344ActiveIndividual· Urology· Gainesville, GA
Urology (MD) in Gainesville, Georgia, trained at University of Alabama School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $348,805 for 2,088 claims, against $136,658 paid for services in 2024. Kerecis Limited was the largest of 2 companies reporting payments in 2025, $70.11 in all, mostly food and beverage.
Overview
| NPI | 1225023344 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 14, 2005 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 93682 | GA |
| Urology | 208800000X | 17993 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (AL); Practitioner - Urology (GA); Practitioner - Urology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 510 |
|---|---|
| Services billed | 3,790 across 72 procedure codes |
| Paid by Medicare | $136,658 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,088 · 3,891 30-day fills |
|---|---|
| Patients | 490 |
| Total drug cost | $348,805 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Urology |
Medical groups
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
- Piedmont Providers LLCAtlanta, GA · 530 clinicians
- Mercy Health Physicians Kentucky Specialty Care LLCPaducah, KY · 151 clinicians
- Floyd Physicians LLCRome, GA · 62 clinicians
- Mtn Lake Urology PCFort Payne, AL · 2 clinicians
Hospital affiliations
- Atrium Health Floyd Medical CenterRome, GA
- Highlands Medical CenterScottsboro, AL
- Mercy Health - Lourdes HospitalPaducah, KY
- Northeast Georgia Medical Center, IncGainesville, GA
- Piedmont Newnan Hospital, IncNewnan, GA
Industry payments (Open Payments)
- 2025$70.11 · 3 payments from 2 companies
- 2024$200.60 · 7 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $42.94 | 2 |
| 180 Medical, Inc. | $27.17 | 1 |
What the 2025 payments were for
- Food and Beverage$70.11 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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