NPPES file of Aug 9, 2026

Justin Simmons, DO

Vascular Surgery Physician · Grand Rapids, MI

Justin Simmons, DO is a vascular surgery physician with a practice address in Grand Rapids, Michigan, and NPI 1235392598, issued on Jul 8, 2008. Check the license (Michigan 5101017740, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1235392598
Name
Justin Simmons
Credential
DO
Primary taxonomy
Vascular Surgery Physician 2086S0129X
License number
5101017740 MI
Self-reported in NPPES; status is on the state search
Practice location
275 Michigan St NE, Grand Rapids, MI 49503
Phone
(616) 267-8700
Enumerated
Jul 8, 2008
Record last updated
Jan 27, 2025
Fax
(616) 267-8247
Medicare enrollment
Enrolled (PECOS I20160606001239); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 275 Michigan St NE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shan Abbas, M.D.Epilepsy Physician1730362674
  2. Esam Abobaker, DONeurology Physician1225770639
  3. Asad Ahrar, MDVascular Neurology Physician1861919722
  4. Shruti Anand, MDGeriatric Medicine (Internal Medicine) Physician1063908416
  5. Mara Arnett, PA-CPhysician Assistant1841692001
  6. Charles Asbury, D.O.Epilepsy Physician1114378692

Verify Justin Simmons in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 5101017740
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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34% fewer Medicare Part D claims than the average vascular surgery physician in 2024

133 Medicare Part D claims for 46 beneficiaries, against an average of 201 among the 3,936 providers of this specialty who prescribed in Part D. Brand-name drugs were 47% of claims.

  1. Justin Simmons133
  2. Specialty average201

Most prescribed

  1. Clopidogrel48 claims
  2. Eliquis28 claims
  3. Brilinta20 claims
  4. Xarelto14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score87.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $430.70

12 payments; by number, the most common kind was food and beverage; the largest payer was Kerecis Limited. The 4,059 providers of this specialty with any payment received $6,178.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Simmons$430.70
  2. Specialty average$6,178.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Spectrum Health Primary Care PartnersGrand Rapids, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justin Simmons among 199 vascular surgery physician records in Michigan

Justin Simmons, DO is one of 199 vascular surgery physician records with a practice address in Michigan. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 63% of them.

  • NPI issued2008 · 63% of these records are older, 31% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2008 · median 2002 among the 134 with a school on file
  • Record last updated2025 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0129X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Vascular Surgery Physician providers in Michigan

There are 199 vascular surgery physician records in Michigan.

The 8 vascular surgery physician records with the nearest ZIP codes

  1. Stefano Bordoli, M.D.Grand Rapids, MI 495031760648364
  2. Christopher Chambers, MD, PHDGrand Rapids, MI 495031184831869
  3. Dar Chung, MDGrand Rapids, MI 495031538802731
  4. Vikram Kashyap, MDGrand Rapids, MI 495031548227457
  5. Andrew Kimball, M.D.Grand Rapids, MI 495031700147873
  6. Michelle Kosovec, M.D.Grand Rapids, MI 495031578859542
  7. M Mansour, MDGrand Rapids, MI 495031487697421
  8. Jake Nicholson, DOGrand Rapids, MI 495031467013698

Common questions

What is Justin Simmons, DO's NPI number?

Justin Simmons, DO's National Provider Identifier (NPI) is 1235392598, issued on Jul 8, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Justin Simmons, DO located?

The NPPES record lists a practice address at 275 Michigan St NE, Grand Rapids, MI, 49503. Phone: (616) 267-8700. Providers update this record themselves, so call before visiting.

How can I verify Justin Simmons, DO's license?

NPPES lists Michigan license number 5101017740, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Justin Simmons, DO prescribe under Medicare Part D?

In 2024, Justin Simmons, DO had 133 Medicare Part D claims for 46 beneficiaries; the average among vascular surgery physician prescribers was 201. Part D covers Medicare prescriptions only.

What is Justin Simmons, DO's MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.