Benjamin Franklyn Simmons III, MD
NPI 1548497381ActiveIndividual· Family Medicine· Monroe, NC
Family Medicine (MD) in Monroe, North Carolina, trained at Howard University College of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $249,603 for 2,577 claims, against $31,237 paid for services in 2024. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $86.50 in all, mostly food and beverage.
Overview
| NPI | 1548497381 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 19, 2009 |
| Last updated in NPPES | Jul 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2012-01385 | NC |
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 - Family Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 567 across 51 procedure codes |
| Paid by Medicare | $31,237 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,577 · 4,998 30-day fills |
|---|---|
| Patients | 178 |
| Total drug cost | $249,603 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Howard University College of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
Hospital affiliations
- Atrium Health AnsonWadesboro, NC
- Atrium Health UnionMonroe, NC
- Carolinas Medical Center/Behav HealthCharlotte, NC
Industry payments (Open Payments)
- 2025$86.50 · 5 payments from 3 companies
- 2024$14.51 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $48.40 | 3 |
| Exact Sciences Corporation | $19.58 | 1 |
| Ionis Pharmaceuticals, Inc. | $18.52 | 1 |
What the 2025 payments were for
- Food and Beverage$86.50 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 63 family medicine physicians in Monroe · All family medicine physicians in North Carolina