2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1932134954 MD
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RANDON SIMMONS, MD

Child & Adolescent Psychiatry Physician in BUTLER, Pennsylvania. 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
4K
Medicare Part D claims · 107 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$449.89
25 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RANDON SIMMONS, MD filed 3,615 Medicare Part D claims in 2023 as a Child & Adolescent Psychiatry Physician in BUTLER, Pennsylvania, prescribing 88% generic.

4K
Part D claims, 2023
88%
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.

RANDON SIMMONS, MD's Medicare Part D volume vs every U.S. prescriber

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

3,615 Top 9% higher than 91% 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)

RANDON 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 RANDON SIMMONS, MD?

Quality data not reported

NPI registry status

Active

Issued 07/11/2006

NPI 1932134954

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

3,615 503% vs specialty avg

2023 prescription claims

Specialty avg: 600

Specialty distribution in Pennsylvania

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

Pennsylvania providers

Child & Adolescent Psychiatry Physician share within Pennsylvania

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Pennsylvania

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).

RANDON SIMMONS, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 112 HILLVUE DRIVE, BUTLER, PA, 16001, with a listed phone of (724) 287-0791. NPI 1932134954 was issued on 07/11/2006. 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 3,615 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 12% brand-name and 88% generic by claim count. 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

112 HILLVUE DRIVE
BUTLER, PA 16001

Provider Details

NPI 1932134954
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 07/11/2006

Hospital and facility affiliations

Facilities where RANDON 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.

PBS MENTAL HEALTH ASSOCIATES PC
BUTLER, PA

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 RANDON SIMMONS, MD. Source: openpaymentsdata.cms.gov.

Total received

$450

Largest payer

Teva Pharmaceuticals USA, 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.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to RANDON SIMMONS, MD. To verify RANDON SIMMONS, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RANDON SIMMONS, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,615 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.

3,615
Total Claims
$1.1M
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,924
Total Day Supply
108,664
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$918K
Generic Drug Cost
$144K

Patient Demographics

Average Patient Age
55.1 years
Avg HCC Risk Score
1.11
Gender Split
40% female / 60% male
Age Distribution
<65: 72, 65-74: 25, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What RANDON 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
Olanzapine
262
Gabapentin
255
Lorazepam
167
Invega Sustenna
Paliperidone Palmitate
130
Lithium Carbonate
129
Clonazepam
128
Benztropine Mesylate
121
Clozapine
112
Trazodone Hcl
102
Bupropion Xl
Bupropion Hcl
97

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

Child & Adolescent Psychiatry Physician Overview

How RANDON 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

RANDON SIMMONS, MD's 3,615 claims are above the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is RANDON SIMMONS, MD's specialty?
RANDON SIMMONS, MD specializes in Child & Adolescent Psychiatry Physician and practices in BUTLER, Pennsylvania. Credentials: MD.
How much does RANDON SIMMONS, MD prescribe under Medicare Part D?
In 2023, RANDON SIMMONS, MD wrote 3,615 Medicare Part D claims totaling $1.1M in drug costs for 107 beneficiaries.
Where is RANDON SIMMONS, MD located?
RANDON SIMMONS, MD is located at 112 HILLVUE DRIVE, BUTLER, PA, 16001. Phone: (724) 287-0791.
What is RANDON SIMMONS, MD's NPI number?
RANDON SIMMONS, MD's National Provider Identifier (NPI) is 1932134954, issued on 07/11/2006.
Does RANDON SIMMONS, MD prescribe more brand-name or generic drugs?
RANDON SIMMONS, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $918K in brand drug costs.
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.
What drugs does RANDON SIMMONS, MD prescribe most often?
Based on 2023 Medicare Part D data, RANDON SIMMONS, MD's most frequently prescribed drugs include Olanzapine, Gabapentin, Lorazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDON SIMMONS, MD accept Medicare?
RANDON SIMMONS, MD appears in CMS Medicare data with 3,615 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDON SIMMONS, MD's credentials?
RANDON SIMMONS, MD's NPI is 1932134954 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