Dr John Caleb Simmons, MD - Medicare Otolaryngology in Austin, TX

Dr John Caleb Simmons, MD is a medicare enrolled "Otolaryngology" physician in Austin, Texas. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Austin Regional Clinic Pa and his current practice location is 3816 S 1st St, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 443-1311.

Dr John Caleb Simmons is licensed to practice in Texas (license number BP10039761) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942582929.

Contact Information

Dr John Caleb Simmons, MD
3816 S 1st St,
Austin, TX 78704-7048
(512) 443-1311
(512) 406-6266

Map and Direction




Physician's Profile

Full NameDr John Caleb Simmons
GenderMale
SpecialityOtolaryngology
Experience13 Years
Location3816 S 1st St, Austin, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Caleb Simmons graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1942582929
  • Provider Enumeration Date: 09/15/2011
  • Last Update Date: 11/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4880985043
  • Enrollment ID: I20160617000605

Medical Identifiers

Medical identifiers for Dr John Caleb Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942582929NPI-NPPES
360710305MedicaidTX
360710306MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology BP10039761 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Seton Medical Center AustinAustin, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Austin Regional Clinic Pa3072507789336

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Caleb Simmons allows following entities to bill medicare on his behalf.
Entity NameUt Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268
Entity NameAustin Regional Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821157579
PECOS PAC ID: 3072507789
Enrollment ID: O20040414000198

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Caleb Simmons is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Caleb Simmons, MD
6210 E Highway 290 Ste 420,
Austin, TX 78723-1142

Ph: (512) 483-9569
Dr John Caleb Simmons, MD
3816 S 1st St,
Austin, TX 78704-7048

Ph: (512) 443-1311

Reviews and Comments


Otolaryngology Doctors in Austin, TX

Dr. Kevin Lynn Robinson, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1909 Alexander Ave Unit 2502, Austin, TX 78722
Phone: 863-284-5906    Fax: 512-503-8337
Robert A. Williamson Jr., M.D.
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Practice Location: 6811 Austin Center Blvd, Suite 300, Austin, TX 78731
Phone: 512-346-8888    Fax: 512-406-7321
Dr. Joel William Jones, MD
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Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717
Phone: 832-822-0629    
Dr. Tibor Ruff, M.D.
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Medicare: Medicare Enrolled
Practice Location: 40 N Interstate 35 Apt 9d1, Austin, TX 78701
Phone: 512-947-4612    
James R Eskew, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4315 James Casey St, Suite 300, Austin, TX 78745
Phone: 512-444-7944    Fax: 512-444-7946
Kent P Jones, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731
Phone: 512-346-8888    Fax: 512-344-0340
David Crockett Teller, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 7901 Metropolis Dr, Austin, TX 78744
Phone: 512-823-4880    Fax: 512-823-4155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.