Richard Joseph Simmons, M.D.
Neurology with Special Qualifications in Child Neurology Physician · Halfmoon, NY
Richard Joseph Simmons, M.D. is a neurology with special qualifications in child neurology physician with a practice address in Halfmoon, New York, and NPI 1912131525, issued on May 11, 2009. Check the license (New York 237138, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Richard Joseph Simmons
- Credential
- M.D.
- Primary taxonomy
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License number
- 237138 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1783 Route 9, Halfmoon, NY 12065
- Phone
- (518) 782-3810
- Enumerated
- May 11, 2009
- Record last updated
- Aug 29, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (518) 782-3838
- Medicaid ID
- 03158770 NY
- Medicare enrollment
- Enrolled (PECOS I20160330000581); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest neurology with special qualifications in child neurology physician records → All 215 in New York → Look up another NPI →
Also registered at 1783 Route 9
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kathleen Bennett, P.A.Physician Assistant1538424361
- Miguel DiazFamily Medicine Physician1477642858
- Kathleen Downey, MDInternal Medicine Physician1275543944
- Jill GradnerInternal Medicine Physician1528142460
- Lisa Greenwald, FNPFamily Nurse Practitioner1982616611
- Steven Hicks, PAPhysician Assistant1750477725
Verify Richard Joseph Simmons in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 237138Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
14% fewer Medicare Part D claims than the average neurology with special qualifications in child neurology physician in 2024
239 Medicare Part D claims for 24 beneficiaries, against an average of 278 among the 900 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.
Most prescribed
- Lamotrigine38 claims
- Divalproex Sodium19 claims
- Levetiracetam15 claims
- Zonisamide14 claims
- Lamotrigine Er13 claims
- Gabapentin12 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): 80.1 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: $1,012.16
55 payments; by number, the most common kind was food and beverage; the largest payer was Neurelis, Inc. The 1,195 providers of this specialty with any payment received $5,568.05 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 one group practice
- Community Care Physicians PLLCHalfmoon, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Richard Joseph Simmons among 215 neurology with special qualifications in child neurology physician records in New York
Richard Joseph Simmons, M.D. is one of 215 neurology with special qualifications in child neurology physician records with a practice address in New York. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 53% of them.
- NPI issued2009 · 53% of these records are older, 41% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 45% of these records are
- Graduated2003 · median 2007 among the 96 with a school on file
- Record last updated2016 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0402X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 neurology with special qualifications in child neurology physician records list a practice address in Halfmoon
They are 2 of the 194 NPPES records with a practice address in Halfmoon, and 215 neurology with special qualifications in child neurology physician records in New York.
All 215 in New York → Every provider in Halfmoon → Neurology with Special Qualifications in Child Neurology Physician nationwide →
The 8 neurology with special qualifications in child neurology physician records with the nearest ZIP codes
- Karen Powers, MDHalfmoon, NY 120651265640205
- Stella Deng, MDAlbany, NY 122081760915342
- John Pugh, M.D., PHDAlbany, NY 122081053515932
- Vijay Vishwanath, MD PHDAlbany, NY 122081457679706
- Greg Rosenn, MDPlainview, NY 118031598707697
- Shantel Apeseche, MDStony Brook, NY 117941366071482
- Tejwant Bindra, D.O.Stony Brook, NY 117941982862843
- Kellie Christenson, M.D.Stony Brook, NY 117941194068106
Common questions
What is Richard Joseph Simmons, M.D.'s NPI number?
Richard Joseph Simmons, M.D.'s National Provider Identifier (NPI) is 1912131525, issued on May 11, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Richard Joseph Simmons, M.D. located?
The NPPES record lists a practice address at 1783 Route 9, Halfmoon, NY, 12065. Phone: (518) 782-3810. Providers update this record themselves, so call before visiting.
How can I verify Richard Joseph Simmons, M.D.'s license?
NPPES lists New York license number 237138, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Richard Joseph Simmons, M.D. prescribe under Medicare Part D?
In 2024, Richard Joseph Simmons, M.D. had 239 Medicare Part D claims for 24 beneficiaries; the average among neurology with special qualifications in child neurology physician prescribers was 278. Part D covers Medicare prescriptions only.
What is Richard Joseph Simmons, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.1 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.