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John Simmons , FNP-C

Nurse Practitioner • Gallup, NM

Active NPI 1164822813 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

520 Nm Highway 564
Gallup, NM 873014873

Call 5055420090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

520 Nm Highway 564

Gallup, NM 873014873

Telephone 5055420090
Fax 5205420155
Organization at the Same NPPES Address or Phone
Rmchcs Urgent Care, Llc Facility NPI 1992248736

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Aztec Urgent Care, 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

Graduation Year

2014

Medicare-allowed amount

About $12,064 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2022.

Paid by Medicare

About $9,336 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

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, 2022.

30-day fills

450 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

$4,217 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2024

All general payments: $55.61 across 2 records.

By nature of payment

  • Food and Beverage: $55.61 across 2 records.

Reporting-company totals

  • ABIOMED: $55.61 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional 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

2014

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.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

John 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists John 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Gallup and New Mexico

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in New Mexico (2024, 279 clinicians with data). Median for this group: 330. Middle half: 80 to 1,169.

Too few clinicians listed under Nurse Practitioner in Gallup have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in New Mexico (2024, 279 clinicians with data). Median for this group: $10,391. Middle half: $1,195 to $83,544.

Too few clinicians listed under Nurse Practitioner in Gallup have Medicare Part D data for 2024 to compare.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for John Simmons are from 2022.

12 active clinicians are listed under Nurse Practitioner with a practice address in Gallup, NM (562 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gallup

8.3% of these 12 clinicians have the CMS telehealth indicator.

33.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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

Open Payments · Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $55.61.

Manufacturer Payment Nature Product Type Amount ($)
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $29.95
ABIOMED
Food and Beverage
Cash or cash equivalent
Impella General $25.66

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B · Data Year 2022
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2021 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, 2018–2022; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
51 35 $108.04 $74.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 27 $160.00 $105.04
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
29 25 $125.00 $50.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $165.00 $91.24
96372 Injection of drug or substance under skin or into muscle
17 15 $35.00 $11.70

Source: CMS Part B by Provider and Service, 2022; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 157 821 $265.50 144
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 43 356 $392.04 43
Doxycycline Monohydrate Doxycycline Monohydrate 34 358 $417.44 32
Amoxicillin Amoxicillin 29 287 $109.56 29
Azithromycin Azithromycin 29 145 $125.53 27
Acetaminophen-Codeine Acetaminophen With Codeine 24 124 $173.93 24
Cephalexin Cephalexin 19 171 $160.80 19
Tizanidine Hcl Tizanidine Hcl 15 105 $46.78 15
Ofloxacin Ofloxacin 14 101 $404.65 14
Tobramycin Tobramycin 14 130 $59.21 14
Paxlovid Nirmatrelvir/Ritonavir 13 65 $1,428.97 13
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 12 44 $61.42 11
Mupirocin Mupirocin 12 102 $66.29 —
Albuterol Sulfate Hfa Albuterol Sulfate 12 192 $280.35 12
Triamcinolone Acetonide Triamcinolone Acetonide 11 142 $28.99 —
Azelastine Hcl Azelastine Hcl 11 368 $195.62 —

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

Self-certified to NPPES: 2025-06-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES NM CNP-02772

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES TX AP126129
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250609001393

Enrollment State Jurisdiction

NM

PECOS Control ID

6608198494

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Aztec Urgent Care, Llc

604 S Rio Grande Ave, Aztec, NM 874102260

Phone: 5053342664

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Karl Johnson , FNP-C

Nurse Practitioner

NPI 1730781451

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location June 02, 2025

Registered at 520 NM HIGHWAY 564, GALLUP, NM 873014873 (Tel: 5055420090)

📍
Updated Business Mailing Address June 02, 2025

Registered at 9192 W UNION HILLS DR, PEORIA, AZ 853828208 (Tel: 6023744101)

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NPI Profile Active October 26, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 26, 2015

Registered at 280 FARM RD 418, SILSBEE, TX 77656 (Tel: 4093861200)

📍
Business Mailing Address (Initial Record) October 26, 2015

Registered at 2655 ISSAC ST, VIDOR, TX 776627613 (Tel: 4096171354)

👤
Provider Name / Credentials (Initial Record) October 26, 2015

Recorded as JOHN SIMMONS, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2015

Nurse Practitioner (license number reported to NPPES: TX AP126129)

🟢
Initial NPI Registration & Enumeration August 31, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164822813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2014
Last Update: June 02, 2025
Sole Proprietor: Yes

Other Nurse Practitioners in Gallup

All Nurse Practitioners in Gallup

Mailing Address

9192 W Union Hills Dr

Peoria, AZ 853828208

Phone: 6023744101

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.