Dr. Marcus L Simmons , MD
Internal Medicine • Macon, GA
5569 Houston Rd
Macon, GA 312165709
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Marcus Simmons is listed in NPPES under Internal Medicine.
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NPI assigned on June 28, 2006; this date does not establish years in practice.
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Published CMS data list 13,825 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99439 — Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month: 3,431 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 1,769 service units.
- 99490 — Chronic care management services: 1,718 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 37 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 13,100 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 762 prescription fills, including refills.
- Amlodipine Besylate — 703 prescription fills, including refills.
- Levothyroxine Sodium — 523 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 177 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Macon, GA (2024, 112 clinicians with data). Median for this group: 623. Middle half: 256 to 1,090.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: 672. Middle half: 262 to 1,455.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 9,836 in 2020 to 13,825 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
5569 Houston Rd
Macon, GA 312165709
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Rutland Family Healthcare Llc; Select Rehabilitation, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Medical College Of Georgia School Of Medicine
1997
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
816 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $836,510 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $652,669 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
28,475 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,689,289 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $180.12 across 10 records.
By nature of payment
- Food and Beverage: $180.12 across 10 records.
Reporting-company totals (3 largest of 6)
- Novo Nordisk Inc: $55.01 across 3 records.
- GlaxoSmithKline, LLC.: $35.28 across 2 records.
- Amgen Inc.: $32.40 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Simmons has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Simmons as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Macon and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Macon, GA (2024, 112 clinicians with data). Median for this group: 623. Middle half: 256 to 1,090.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: 672. Middle half: 262 to 1,455.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Macon, GA (2024, 112 clinicians with data). Median for this group: $58,755. Middle half: $20,013 to $100,772.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: $60,432. Middle half: $25,430 to $112,727.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Macon, GA (2024, 112 clinicians with data). Median for this group: $45,496. Middle half: $15,481 to $78,769.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Georgia (2024, 2,224 clinicians with data). Median for this group: $46,319. Middle half: $19,271 to $87,339.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Internal Medicine in Macon, GA (2024, 118 clinicians with data). Median for this group: 260. Middle half: 92 to 2,177.
More Part D prescriptions than 90% of clinicians listed under Internal Medicine in Georgia (2024, 2,481 clinicians with data). Median for this group: 990. Middle half: 139 to 5,701.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Macon, GA (2024, 118 clinicians with data). Median for this group: $15,499. Middle half: $959 to $181,608.
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Georgia (2024, 2,481 clinicians with data). Median for this group: $71,428. Middle half: $6,948 to $490,450.
189 active clinicians are listed under Internal Medicine with a practice address in Macon, GA (3,919 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Macon
7.4% of these 189 clinicians have the CMS telehealth indicator.
61.4% of these 189 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 41% from 9,836 in 2020 to 13,825 in 2024.
- 2020: 9,836
- 2021: 9,850
- 2022: 9,420
- 2023: 10,752
- 2024: 13,825
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Medicare-allowed amount
Medicare-allowed amount increased 42% from $590,487 in 2020 to $836,510 in 2024.
- 2020: $590,487
- 2021: $627,877
- 2022: $634,279
- 2023: $696,402
- 2024: $836,510
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Paid by Medicare
Paid by Medicare increased 43% from $456,258 in 2020 to $652,669 in 2024.
- 2020: $456,258
- 2021: $489,688
- 2022: $490,305
- 2023: $539,083
- 2024: $652,669
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 37% from 9,541 in 2020 to 13,100 in 2024.
- 2020: 9,541
- 2021: 9,348
- 2022: 9,833
- 2023: 11,178
- 2024: 13,100
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30-day fills
30-day fills increased 47% from 19,409 in 2020 to 28,475 in 2024.
- 2020: 19,409
- 2021: 19,728
- 2022: 21,715
- 2023: 24,573
- 2024: 28,475
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Part D drug cost
Part D drug cost increased 240% from $497,376 in 2020 to $1,689,289 in 2024.
- 2020: $497,376
- 2021: $593,764
- 2022: $678,121
- 2023: $1,515,562
- 2024: $1,689,289
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $506.80 in 2021 to $180.12 in 2025.
- 2021: $506.80
- 2022: $582.81
- 2023: $622.51
- 2024: $338.57
- 2025: $180.12
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $180.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $21.05 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $20.29 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $18.95 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $18.57 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $18.56 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $17.49 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $16.72 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $16.20 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $16.20 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $16.09 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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3,431 | 202 | $89.60 | $44.62 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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1,769 | 250 | $141.92 | $74.49 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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1,718 | 202 | $82.00 | $58.59 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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1,171 | 539 | $206.65 | $119.32 |
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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888 | 82 | $75.14 | $36.68 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
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801 | 87 | $91.26 | $45.06 |
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
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623 | 74 | $90.64 | $41.04 |
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99497
Advance care planning, first 30 minutes
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443 | 426 | $95.00 | $76.91 |
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G0444
Annual depression screening, 5 to 15 minutes
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436 | 436 | $35.00 | $16.98 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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423 | 423 | $223.00 | $119.46 |
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81002
Urinalysis, manual test
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275 | 230 | $15.00 | $3.41 |
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71046
X-ray of chest, 2 views
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254 | 228 | $52.00 | $30.17 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
235 | 175 | $138.41 | $84.58 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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158 | 147 | $399.00 | $163.66 |
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99238
Hospital discharge day management, 30 minutes or less
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153 | 147 | $143.00 | $76.12 |
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99489
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
|
149 | 99 | $90.00 | $66.29 |
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99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
|
141 | 99 | $180.00 | $123.32 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
|
121 | 119 | $95.00 | $13.23 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
100 | 46 | $12.00 | $1.24 |
|
96372
Injection of drug or substance under skin or into muscle
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72 | 31 | $48.00 | $13.15 |
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G0008
Administration of influenza virus vaccine
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68 | 68 | $25.00 | $24.50 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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53 | 48 | $60.00 | $34.62 |
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99495
Transitional care management services for problem of at least moderate complexity
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42 | 41 | $315.00 | $191.62 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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35 | 32 | $38.00 | $20.95 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
33 | 25 | $103.00 | $49.50 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 762 | 54,180 | $6,196.99 | 222 |
| Amlodipine Besylate | Amlodipine Besylate | 703 | 52,393 | $3,909.48 | 212 |
| Levothyroxine Sodium | Levothyroxine Sodium | 523 | 36,853 | $7,802.18 | 136 |
| Metformin Hcl | Metformin Hcl | 507 | 41,134 | $2,830.41 | 165 |
| Losartan Potassium | Losartan Potassium | 445 | 32,204 | $4,089.50 | 128 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 390 | 31,356 | $6,735.81 | 108 |
| Furosemide | Furosemide | 361 | 20,369 | $1,394.57 | 116 |
| Metoprolol Succinate | Metoprolol Succinate | 314 | 22,606 | $4,484.39 | 102 |
| Gabapentin | Gabapentin | 278 | 19,232 | $6,749.54 | 114 |
| Omeprazole | Omeprazole | 268 | 20,480 | $3,938.31 | 80 |
| Pantoprazole Sodium | Pantoprazole Sodium | 247 | 17,632 | $3,384.64 | 100 |
| Pravastatin Sodium | Pravastatin Sodium | 236 | 19,910 | $3,015.67 | 68 |
| Hydrochlorothiazide | Hydrochlorothiazide | 235 | 15,729 | $996.95 | 64 |
| Ozempic | Semaglutide | 219 | 8,970 | $282,710.23 | 38 |
| Potassium Chloride | Potassium Chloride | 199 | 11,167 | $3,485.23 | 79 |
| Sertraline Hcl | Sertraline Hcl | 196 | 13,189 | $3,506.26 | 52 |
| Eliquis | Apixaban | 181 | 7,435 | $136,033.13 | 47 |
| Montelukast Sodium | Montelukast Sodium | 179 | 13,780 | $1,901.21 | 53 |
| Tamsulosin Hcl | Tamsulosin Hcl | 168 | 11,858 | $1,906.71 | 66 |
| Hydralazine Hcl | Hydralazine Hcl | 154 | 7,897 | $1,799.00 | 47 |
| Alendronate Sodium | Alendronate Sodium | 153 | 9,698 | $1,126.30 | 41 |
| Carvedilol | Carvedilol | 152 | 10,846 | $1,140.47 | 55 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 145 | 7,400 | $6,115.24 | 60 |
| Fluticasone Propionate | Fluticasone Propionate | 144 | 9,030 | $2,234.33 | 68 |
| Memantine Hcl | Memantine Hcl | 139 | 6,312 | $4,200.24 | 28 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20040622001399
GA
5496730566
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Select Rehabilitation, Llc
2600 Compass Rd, Glenview, IL 600268001
Rutland Family Healthcare Llc
5569 Houston Rd, Macon, GA 312165709
Phone: 4787815065
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Physician Assistant
Physician Assistant
Career & Practice History
NPI enumerated June 28, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Macon
- Dr. Elizabeth Adejo, MD
- Dr. Tarun Ghosh, MD
- Dr. Scott Rowland, MD
- Dr. Elisa Mohan, MD
- Madalina Ilioaia
- Dr. Bibi Alli-Ramsaroop, MD
Mailing Address
5569 Houston Rd
Macon, GA 312165709
Phone: 4787815065