Scott C. Simmons, MD
Orthopaedic Surgery Physician · Pleasant Prairie, WI
Scott C. Simmons, MD is an orthopaedic surgery physician with a practice address in Pleasant Prairie, Wisconsin, and NPI 1528175726, issued on Aug 24, 2006. Check the license (Wisconsin 45011, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Scott C. Simmons
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 45011 WI
Self-reported in NPPES; status is on the state search - Practice location
- 12500 Aurora Dr, Pleasant Prairie, WI 53158
- Phone
- (262) 857-5000
- Enumerated
- Aug 24, 2006
- Record last updated
- Nov 30, 2023
- Fax
- (262) 857-5001
- Medicaid ID
- 34297700 WI
- Medicare enrollment
- Enrolled (PECOS I20050523000651); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 1990
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 656 in Wisconsin → Look up another NPI →
Also registered at 12500 Aurora Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Frederick AntwiNurse Practitioner1215566435
- Allison Bellford, PT, DPTPhysical Therapist1538626502
- Emily Benitez, PTPhysical Therapist1508615956
- Emily Bohman, PTPhysical Therapist1225728264
- Joanne Cain, OTROccupational Therapist1982814174
- Amanda Clough-Knapp, OTOccupational Therapist1275938474
Verify Scott C. Simmons in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 45011Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
27% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
253 Medicare Part D claims for 182 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Prednisone115 claims
- Meloxicam55 claims
- Amoxicillin31 claims
- Diclofenac Sodium20 claims
- Methylprednisolone11 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.
Bills Medicare through 2 group practices
- Advantage Physical Therapy And Sports Rehab, LLCKenosha, WI
- Aurora Medical Group, Inc.Milwaukee, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Scott C. Simmons among 656 orthopaedic surgery physician records in Wisconsin
Scott C. Simmons, MD is one of 656 orthopaedic surgery physician records with a practice address in Wisconsin. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 41% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1990 · median 2006 among the 401 with a school on file
- Record last updated2023 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 orthopaedic surgery physician records list a practice address in Pleasant Prairie
They are 6 of the 307 NPPES records with a practice address in Pleasant Prairie, and 656 orthopaedic surgery physician records in Wisconsin.
All 656 in Wisconsin → Every provider in Pleasant Prairie → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Mhd Alsawaf, MBBS, MDPleasant Prairie, WI 531581144411653
- Jonathan Ben-Zev, M.D.Pleasant Prairie, WI 531581245681949
- Alan Gegenheimer, D.O.Pleasant Prairie, WI 531581730119561
- Michael Jacker, M.D.Pleasant Prairie, WI 531581235164328
- Andrew Rizzi, MDPleasant Prairie, WI 531581508350190
- Alexander Riordan, M.D.Oak Creek, WI 531541972879534
- Joseph Kelly, DONew Berlin, WI 531511164917779
- Jonathan Erickson, M.D.Lake Geneva, WI 531471255794533
Common questions
What is Scott C. Simmons, MD's NPI number?
Scott C. Simmons, MD's National Provider Identifier (NPI) is 1528175726, issued on Aug 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Scott C. Simmons, MD located?
The NPPES record lists a practice address at 12500 Aurora Dr, Pleasant Prairie, WI, 53158. Phone: (262) 857-5000. Providers update this record themselves, so call before visiting.
How can I verify Scott C. Simmons, MD's license?
NPPES lists Wisconsin license number 45011, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Scott C. Simmons, MD prescribe under Medicare Part D?
In 2024, Scott C. Simmons, MD had 253 Medicare Part D claims for 182 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
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.