2026 NPPES data Family Medicine Physician NPI 1336189075 MD
Verify on CMS →

Jon Simmons, MD

Family Medicine Physician in Marinette, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
13K
Medicare Part D claims · 794 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Jon Simmons, MD filed 13,063 Medicare Part D claims in 2023 as a Family Medicine Physician in Marinette, Wisconsin, prescribing 90% generic.

13K
Part D claims, 2023
90%
generic prescribing
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.

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

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

13,063 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

Jon Simmons, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 Jon Simmons, MD?

Quality data not reported

NPI registry status

Active

Issued 06/08/2006

NPI 1336189075

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

13,063 282% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine 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).

Jon Simmons, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2820 ROOSEVELT ROAD, Marinette, WI, 54143, with a listed phone of (715) 735-5225. NPI 1336189075 was issued on 06/08/2006. 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 13,063 prescription claims written by this provider, covering 794 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 1.9%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2820 ROOSEVELT ROAD
Marinette, WI 54143

Provider Details

NPI 1336189075
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/08/2006

Hospital and facility affiliations

Facilities where Jon 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.

Oconto Hospital And Medical Center Inc
Marinette, WI

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

Brand vs generic prescribing mix · Typical

Jon Simmons, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 13,063 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

13,063
Total Claims
$1.1M
Total Drug Cost
794
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30,229
Total Day Supply
889,239
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$892K
Generic Drug Cost
$236K
Opioid Claims
244 (1.9% rate)
Antibiotic Claims
155

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.26
Gender Split
29% female / 71% male
Age Distribution
<65: 92, 65-74: 392, 75-84: 229, 85+: 81

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Jon Simmons, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
1,170
Lisinopril
623
Amlodipine Besylate
543
Omeprazole
467
Levothyroxine Sodium
390
Rosuvastatin Calcium
389
Losartan Potassium
354
Tamsulosin Hcl
335
Pantoprazole Sodium
321
Metoprolol Succinate
278

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Jon Simmons, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Jon Simmons, MD's 13,063 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

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

Compare Family Medicine 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 Wisconsin medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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 Jon Simmons, MD's specialty?
Jon Simmons, MD specializes in Family Medicine Physician and practices in Marinette, Wisconsin. Credentials: MD.
How much does Jon Simmons, MD prescribe under Medicare Part D?
In 2023, Jon Simmons, MD wrote 13,063 Medicare Part D claims totaling $1.1M in drug costs for 794 beneficiaries.
Where is Jon Simmons, MD located?
Jon Simmons, MD is located at 2820 ROOSEVELT ROAD, Marinette, WI, 54143. Phone: (715) 735-5225.
What is Jon Simmons, MD's NPI number?
Jon Simmons, MD's National Provider Identifier (NPI) is 1336189075, issued on 06/08/2006.
Does Jon Simmons, MD prescribe more brand-name or generic drugs?
Jon Simmons, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $892K in brand drug costs.
Does Jon Simmons, MD prescribe opioids?
Yes, Jon Simmons, MD had 244 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Jon Simmons, MD prescribe most often?
Based on 2023 Medicare Part D data, Jon Simmons, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jon Simmons, MD accept Medicare?
Jon Simmons, MD appears in CMS Medicare data with 13,063 Part D claims and 794 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jon Simmons, MD's credentials?
Jon Simmons, MD's NPI is 1336189075 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