2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1497886238 MD
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Carnetha Simmons, MD

Child & Adolescent Psychiatry Physician in Silver Spring, Maryland. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 6,160 in Child & Adolescent Psychiatry Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
45
Medicare Part D claims · Child & Adolescent Psychiatry Physician avg: 600
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carnetha Simmons, MD filed 45 Medicare Part D claims in 2023 as a Child & Adolescent Psychiatry Physician in Silver Spring, Maryland.

45
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Carnetha Simmons, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

45 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

Carnetha Simmons, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Carnetha Simmons, MD?

Quality data not reported

NPI registry status

Active

Issued 03/07/2007

NPI 1497886238

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

45 92% vs specialty avg

2023 prescription claims

Specialty avg: 600

Specialty distribution in Maryland

How Child & Adolescent Psychiatry Physician compares to other specialties among Maryland providers

Maryland providers

Largest specialties in Maryland (% of in-state providers)

Behavior Technician — 14.1%Behavior Technician14.1%Clinical Social Worker — 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program — 4.5%Student in an Organized Health Care Education/Training Program4.5%Home Health Aide — 4.4%Home Health Aide4.4%Physical Therapist — 3.9%Physical Therapist3.9%Pharmacist — 3.6%Pharmacist3.6%Child & Adolescent Psychiatry Physician — 0.1%Child & Adolescent Psychiatry Physician0.1%
Largest specialties in Maryland (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Child & Adolescent Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Child & Adolescent Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Carnetha Simmons, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 8040 GEORGIA AVE STE 170, Silver Spring, MD, 20910, with a listed phone of (202) 360-4787. NPI 1497886238 was issued on 03/07/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Simmons most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 45 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $533 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

8040 GEORGIA AVE STE 170
Silver Spring, MD 20910

Provider Details

NPI 1497886238
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Female
NPI Issued 03/07/2007

Hospital and facility affiliations

Facilities where Carnetha Simmons, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Axis Healthcare Group
Silver Spring, MD
Carolinas Medical Center
Charlotte, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

45
Total Claims
$533
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
1,500
Brand Drug Cost
$0
Generic Drug Cost
$533

Patient Demographics

Average Patient Age
37.3 years
Avg HCC Risk Score
0.84

Child & Adolescent Psychiatry Physician Overview

How Carnetha Simmons, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

Carnetha Simmons, MD's 45 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Simmons.

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Maryland medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Child & Adolescent Psychiatry Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carnetha Simmons, MD's specialty?
Carnetha Simmons, MD specializes in Child & Adolescent Psychiatry Physician and practices in Silver Spring, Maryland. Credentials: MD.
How much does Carnetha Simmons, MD prescribe under Medicare Part D?
In 2023, Carnetha Simmons, MD wrote 45 Medicare Part D claims totaling $533 in drug costs for N/A beneficiaries.
Where is Carnetha Simmons, MD located?
Carnetha Simmons, MD is located at 8040 GEORGIA AVE STE 170, Silver Spring, MD, 20910. Phone: (202) 360-4787.
What is Carnetha Simmons, MD's NPI number?
Carnetha Simmons, MD's National Provider Identifier (NPI) is 1497886238, issued on 03/07/2007.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
Does Carnetha Simmons, MD accept Medicare?
Carnetha Simmons, MD appears in CMS Medicare data with 45 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carnetha Simmons, MD's credentials?
Carnetha Simmons, MD's NPI is 1497886238 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.