Michael Simmons, M.D.
Ophthalmology Physician · Ogden, UT
Michael Simmons, M.D. is an ophthalmology physician with a practice address in Ogden, Utah, and NPI 1194256479, issued on Mar 27, 2017. Check the license (Utah 13000441-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Michael Simmons
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 13000441-1205 UT
MED-PHYS-LIC-115061 MT
23619 NV
15234A WY
Self-reported in NPPES; status is on the state search - Practice location
- 4360 Washington Blvd, Ogden, UT 84403
- Phone
- (801) 476-0494
- Enumerated
- Mar 27, 2017
- Record last updated
- Jan 23, 2026
- Fax
- (801) 479-3937
- Medicare enrollment
- Enrolled (PECOS I20230609001461); accepts Medicare assignment
- Medical or professional school
- University Of Arizona College Of Medicine - Phoenix, 2017
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 202 in Utah → Look up another NPI →
Also registered at 4360 Washington Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Claron Alldredge, MDOphthalmology Physician1841200284
- John Armstrong, MDOphthalmology Physician1932188133
- Mark Ballif, M.D.,Ophthalmology Physician1376522573
- Michael Bullard, M.D.Ophthalmology Physician1326351727
- Dane Dansie, O.D.Optometrist1770562985
- Devin Farr, O.D.Optometrist1750643896
Verify Michael Simmons in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 13000441-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
82% fewer Medicare Part D claims than the average ophthalmology physician in 2024
269 Medicare Part D claims for 93 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 45% of claims.
Most prescribed
- Prednisolone Acetate63 claims
- Latanoprost45 claims
- Polymyxin B Sul-Trimethoprim21 claims
- Ketorolac Tromethamine19 claims
- Moxifloxacin17 claims
- Dorzolamide Hcl13 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $442.63
19 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Mt Ogden Eye Center LLCOgden, UT
- Rocky Mountain Retina ConsultantsElko, NV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael Simmons among 202 ophthalmology physician records in Utah
Michael Simmons, M.D. is one of 202 ophthalmology physician records with a practice address in Utah. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 83% of them.
- NPI issued2017 · 83% of these records are older, 15% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2017 · median 2004 among the 145 with a school on file
- Record last updated2026 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Utah
There are 202 ophthalmology physician records in Utah.
All 202 in Utah → Every provider in Ogden → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Claron Alldredge, MDOgden, UT 844031841200284
- John Armstrong, MDOgden, UT 844031932188133
- Mark Ballif, M.D.,Ogden, UT 844031376522573
- David Brodstein, M.D.Ogden, UT 844031912989518
- Michael Bullard, M.D.Ogden, UT 844031326351727
- Douglas Felt, M.D.Ogden, UT 844031831171446
- Lisa Leishman, M.D.Ogden, UT 844031932467198
- Jed Poll, MDOgden, UT 844031376656124
Common questions
What is Michael Simmons, M.D.'s NPI number?
Michael Simmons, M.D.'s National Provider Identifier (NPI) is 1194256479, issued on Mar 27, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Michael Simmons, M.D. located?
The NPPES record lists a practice address at 4360 Washington Blvd, Ogden, UT, 84403. Phone: (801) 476-0494. Providers update this record themselves, so call before visiting.
How can I verify Michael Simmons, M.D.'s license?
NPPES lists Utah license number 13000441-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Michael Simmons, M.D. prescribe under Medicare Part D?
In 2024, Michael Simmons, M.D. had 269 Medicare Part D claims for 93 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Michael Simmons, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.