Dr Scott C Simmons, MD - Medicare Orthopedic Surgery in Pleasant Prairie, WI

Dr Scott C Simmons, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pleasant Prairie, Wisconsin. He went to Creighton University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 857-5000.

Dr Scott C Simmons is licensed to practice in Wisconsin (license number 45011) 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 1528175726.

Contact Information

Dr Scott C Simmons, MD
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227
(262) 857-5000
(262) 857-5001

Map and Direction




Physician's Profile

Full NameDr Scott C Simmons
GenderMale
SpecialityOrthopedic Surgery
Experience34 Years
Location12500 Aurora Dr, Pleasant Prairie, Wisconsin
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 Scott C Simmons attended and graduated from Creighton University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1528175726
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 11/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739121559
  • Enrollment ID: I20050523000651

Medical Identifiers

Medical identifiers for Dr Scott C Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528175726NPI-NPPES
34297700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 45011 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

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 Scott C Simmons allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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 Scott C 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 Scott C Simmons, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (262) 857-5000
Dr Scott C Simmons, MD
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227

Ph: (262) 857-5000

Reviews and Comments


Orthopaedic Surgery Doctors in Pleasant Prairie, WI

Mhd Anas Alsawaf, MBBS, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9697 Saint Catherines Dr, Ste 200, Pleasant Prairie, WI 53158
Phone: 262-656-3590    Fax: 262-656-3591
Dr. Michael H. Jacker, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 9697 Saint Catherines Dr Ste 200, Pleasant Prairie, WI 53158
Phone: 262-656-3590    Fax: 262-656-3591
Dr. Alan P. Gegenheimer, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9697 Saint Catherines Dr, Suite 200, Pleasant Prairie, WI 53158
Phone: 262-656-3590    Fax: 262-656-3591

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.