Dr Matthew Edward Simmons, MD - Medicare Infectious Disease in Cumberland, MD

Dr Matthew Edward Simmons, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Cumberland, Maryland. He went to West Virginia University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Upmc Western Maryland Health Services Llc and his current practice location is 12502 Willowbrook Rd Ste 400, Cumberland, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 964-8913.

Dr Matthew Edward Simmons is licensed to practice in Maryland (license number D90498) 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 1396942223.

Contact Information

Dr Matthew Edward Simmons, MD
12502 Willowbrook Rd Ste 400,
Cumberland, MD 21502-6567
(240) 964-8913
(240) 964-8911

Map and Direction




Physician's Profile

Full NameDr Matthew Edward Simmons
GenderMale
SpecialityInfectious Disease
Experience13 Years
Location12502 Willowbrook Rd Ste 400, Cumberland, Maryland
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 Matthew Edward Simmons attended and graduated from West Virginia University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1396942223
  • Provider Enumeration Date: 07/03/2007
  • Last Update Date: 07/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315116142
  • Enrollment ID: I20210201001171

Medical Identifiers

Medical identifiers for Dr Matthew Edward Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396942223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 23140 (West Virginia)Secondary
207RI0200XInternal Medicine - Infectious Disease 23140 (West Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease D90498 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Western Maryland Health Services Llc7113396011147

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 Matthew Edward Simmons allows following entities to bill medicare on his behalf.
Entity NameUpmc Western Maryland Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184769952
PECOS PAC ID: 7113900655
Enrollment ID: O20040608000157
Entity NameUpmc Western Maryland Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447976584
PECOS PAC ID: 7113396011
Enrollment ID: O20221216000041

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 Matthew Edward 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 Matthew Edward Simmons, MD
Po Box 1671,
Cumberland, MD 21501-1671

Ph: () -
Dr Matthew Edward Simmons, MD
12502 Willowbrook Rd Ste 400,
Cumberland, MD 21502-6567

Ph: (240) 964-8913

Reviews and Comments


Internal Medicine Doctors in Cumberland, MD

Dr. Feiyu Hong, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502
Phone: 240-964-7000    
Dr. Robustiano Jocson Barrera Jr., M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 200 Glenn Street, Suite #302, Cumberland, MD 21502
Phone: 240-522-0470    Fax: 240-522-0471
Dr. James B. Deren, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W Industrial Blvd, Cumberland, MD 21502
Phone: 240-964-9355    Fax: 240-964-9356
Dr. Christopher Haas, D.O.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12502 Willowbrook Rd, Suite 330, Cumberland, MD 21502
Phone: 240-964-8740    
Sunil Kumar Gupta, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 625 Kent Ave Ste 101, Cumberland, MD 21502
Phone: 301-724-7117    
Dr. Qamar Ul Zaman, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12502 Willowbrook Rd, Suite 440, Cumberland, MD 21502
Phone: 301-777-3111    Fax: 301-777-0963
Dr. Gregg C Donaldson, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 912 Seton Dr, Cumberland, MD 21502
Phone: 301-722-3111    Fax: 301-722-5135

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).

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