PlainDoctor

2026 NPPES data Obstetrics & Gynecology Physician NPI 1598724692 M.D.
Verify on CMS →

Michelle Simmons, M.D.

Obstetrics & Gynecology Physician in Asheville, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 45,074 in Obstetrics & Gynecology 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
328
Medicare Part D claims · 114 beneficiaries · Obstetrics & Gynecology Physician avg: 188
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.4/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$29.11
2 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Michelle Simmons, M.D. reported a CMS MIPS final score of 93.4/100 - above the 83.5 national average - and filed 328 Medicare Part D claims in 2024.

93.4/100
MIPS score · +10 vs avg
328
Part D claims, 2024
85%
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.

Federal trust snapshot

What official records show about Michelle Simmons, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1598724692), first enumerated 03/20/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 328 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $29.11 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1598724692 · Obstetrics & Gynecology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1598724692
  • ENUM-LEGACY 2006
  • TAX-MID 45K Obstetrics &
  • MIPS-ABOVE 93.4/100
  • RX-LIGHT 328
  • BOOK-LIGHT 1,476 in North Carolina
  • PHOTO-FINISH Erich Metzler · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michelle Simmons, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

93 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Michelle Simmons, M.D. sits

This provider among obstetrics & gynecology physician peers

Across the 7,360 obstetrics & gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Simmons, M.D. writes more Part D claims than 86% of them and scores higher on MIPS quality than 74% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 65Michelle Simmons, M.D., Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 74
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one obstetrics & gynecology physician peer from a representative sample of 60; the gold marker is Michelle Simmons, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Michelle Simmons, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Michelle Simmons, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/20/2006

NPI 1598724692

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

45,074 US NPIs in this specialty

Medicare Part D claims

328 74% vs specialty avg

2024 prescription claims

Specialty avg: 188

MIPS final score

93.4/100 9.9 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in North Carolina

How Obstetrics & Gynecology Physician compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.8%Pharmacist4.9%Student in an Organized Heal…4.7%Physical Therapist4.2%Mental Health Counselor4.2%Obstetrics & Gynecology Phys…0.7%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Michelle Simmons, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
93.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.4%
MIPS final score (Obstetrics & Gynecology Physician) - 93.4/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

143 ASHELAND AVE
Asheville, NC 28801
(828) 258-9191

Provider Details

NPI 1598724692
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 03/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.4396
Final Score
Measured-score avg: 83.5
78.1318
Quality
100
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Michelle Simmons, M.D. 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.

Uwh OF The Carolinas PLLC
Asheville, 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).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Michelle Simmons, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$29

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Michelle Simmons, M.D. - brand share 15.0%
Obstetrics & Gynecology Physician average

15% brand-name claims vs 85% generic, on 328 2024 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 2024.

328
Total Claims
$29K
Total Drug Cost
114
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
687.5
Total Day Supply
19,658
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$15K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.72
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Michelle Simmons, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Estradiol
 99
Alendronate Sodium
 25
Premarin
Estrogens, Conjugated
24
Estradiol (Twice Weekly)
Estradiol
23
Progesterone
Progesterone, Micronized
23
Betamethasone Dipropionate
 14
Clobetasol Propionate
 12
Oxybutynin Chloride Er
Oxybutynin Chloride
12

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

More Obstetrics & Gynecology Physician in NC → All providers in North Carolina → Compare specialties →

Obstetrics & Gynecology Physician Overview

How Michelle Simmons, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

45,074
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
188
Avg Claims per Provider

Michelle Simmons, M.D.'s 328 claims are above the specialty average of 188.

Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Simmons, both outside North Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.4 here).

Erich Metzler 93.4 WI Robert Moyer 93.4 WI Amy Van Gheem 93.4 WI Ehab Abdelmalek 93.5 NY

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Steven Johnson Connersville, IN Millicent Comrie Brooklyn, NY James Ger Los Alamitos, CA Helene Koch Bala Cynwyd, PA

Nearby Obstetrics & Gynecology Physician Providers in North Carolina

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

One of 1,476 Obstetrics & Gynecology Physician providers enrolled in North Carolina, 5 are shown here.

Dr. Meaghan Aalto
MD
Lexington, NC
Dr. Lara Aboulhosn
MD
Charlotte, NC
Dr. Brandi Adams
MD
Huntersville, NC
Dr. Harvey Adams
M.D.
Asheboro, NC
Dr. Sharvari Adams
DO
Greensboro, NC

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michelle Simmons, M.D.'s specialty? ▼
Michelle Simmons, M.D. specializes in Obstetrics & Gynecology Physician and practices in Asheville, North Carolina. Credentials: M.D..
How much does Michelle Simmons, M.D. prescribe under Medicare Part D? ▼
In 2024, Michelle Simmons, M.D. wrote 328 Medicare Part D claims totaling $29K in drug costs for 114 beneficiaries.
What is Michelle Simmons, M.D.'s Medicare quality score? ▼
Michelle Simmons, M.D. has a CMS MIPS Final Score of 93.4/100 (Quality: 78.1, Cost: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Simmons, M.D. located? ▼
Michelle Simmons, M.D. is located at 143 ASHELAND AVE, Asheville, NC, 28801. Phone: (828) 258-9191.
What is Michelle Simmons, M.D.'s NPI number? ▼
Michelle Simmons, M.D.'s National Provider Identifier (NPI) is 1598724692, issued on 03/20/2006.
Does Michelle Simmons, M.D. prescribe more brand-name or generic drugs? ▼
Michelle Simmons, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $15K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 45,074 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 188 Medicare Part D claims per year.
What drugs does Michelle Simmons, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Michelle Simmons, M.D.'s most frequently prescribed drugs include Estradiol, Alendronate Sodium, Premarin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Simmons, M.D. accept Medicare? ▼
Michelle Simmons, M.D. appears in CMS Medicare data with 328 Part D claims and 114 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Simmons, M.D.'s credentials? ▼
Michelle Simmons, M.D.'s NPI is 1598724692 with credentials M.D.. 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

View source datasets and methodology notes
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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.