Medicare Enrolled

Dr. Matthew Simmons, MD

Sports Medicine (Family Medicine) Physician · Holly Springs, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
684 SIXES RD, Holly Springs, GA 30115
7705176636
Registered in NPPES since 2010
NPI: 1952620429 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Simmons from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Simmons? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Simmons

Dr. Matthew Simmons is a sports medicine physician in Holly Springs, GA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Simmons performed 2,776 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Simmons received a total of $1,723 from 20 pharmaceutical and/or device companies across 77 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Simmons is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years of NPI registration ▲ Top 14% volume in GA $1,723 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,776
Medicare services
Top 14% in GA for sports medicine (family medicine) physician
Not available
Unique patients (not deduplicated)
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Extended-release steroid injection (Zilretta)
An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams.
992 $13 $87
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
388 $58 $239
Hyaluronan injection (Euflexxa) for joint
An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space.
285 $99 $663
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
197 $5 $35
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
196 $96 $387
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
166 $69 $274
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
155 $83 $339
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
95 $34 $160
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
63 $34 $143
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
48 $0 $5
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
35 $28 $121
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
29 $24 $113
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
27 $79 $312
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
21 $119 $504
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
19 $41 $185
Destruction of nerve branches of knee using imaging guidance 18 $309 $1,182
Knee nerve block injection with imaging guidance
An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement.
17 $181 $693
X-ray of both hips, 2 views
An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment.
13 $29 $124
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
12 $32 $121
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,723
Total received (2018-2024)
Avg $246/year across 7 years
Top 20% in GA for sports medicine (family medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
77
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$144
2023
$221
2022
$127
2021
$334
2020
$341
2019
$349
2018
$207

Payments by company (2024)

Ferring Pharmaceuticals Inc.
$78
Medtronic, Inc.
$25
Abbott Laboratories
$25
DJO, LLC
$16
Top 3 companies account for 88.8% of 2024 payments
All-time payments by company (2018-2024) ›
Ferring Pharmaceuticals Inc.
$509
Nevro Corp.
$310
Flexion Therapeutics, Inc.
$262
BOSTON SCIENTIFIC CORPORATION
$134
Horizon Therapeutics plc
$133
Avanos Medical
$43
Bioventus LLC
$41
Organogenesis Inc.
$40
DePuy Synthes Sales Inc.
$35
Terumo BCT, Inc.
$32
Medtronic, Inc.
$25
Abbott Laboratories
$25
Horizon Pharma plc
$24
Pacira Pharmaceuticals Incorporated
$22
SANOFI-AVENTIS U.S. LLC
$21
DJO, LLC
$16
ERMI Inc.
$15
ERMI LLC
$13
Allergan Inc.
$13
FIDIA PHARMA USA INC.
$11
Top 3 companies account for 62.8% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · Bone Marrow Aspirate Concentrate System · CMF · DALVANCE · DUEXIS · EUFLEXXA · Exogen · GELSYN 3 · GENERAL KIDNEY STONE DISEASE · GENERATOR · HYALGAN · Iovera · ORTHOVISC · Omnia · PENNSAID · PROCLAIM · Puraply · RAYOS · REZUM · SYNVISC-ONE · Senza · Senza Spinal Cord Stimulation System · TRIVISC SODIUM HYALURONATE · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a sports medicine physician in Holly Springs?
Compare sports medicine physicians in the Holly Springs area by procedure volume, costs, and industry payment transparency.
Browse sports medicine physicians nearby

Geographic Context

Sports medicine physicians in nearby ZIP areas
10
County median income
$105,442
Nearest hospital to ZIP centroid (approximate)
NORTHSIDE HOSPITAL CHEROKEE
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Simmons is a clinical cardiology specialist, with above-average Medicare volume (top 14% in GA), with 16 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Simmons experienced with extended-release steroid injection (zilretta)?
Based on Medicare claims data, Dr. Simmons performed 992 extended-release steroid injection (zilretta) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Simmons receive payments from pharmaceutical companies?
Yes. Dr. Simmons received a total of $1,723 from 20 companies across 77 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Simmons's costs compare to other sports medicine physicians in Holly Springs?
Dr. Simmons's average Medicare payment per service is $47. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Simmons) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →