Medicare Enrolled
Dr. Justin Simmons, DO
Surgery · Grand Rapids, MI
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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 →
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What this data tells you about Dr. Simmons
Dr. Justin Simmons is a surgery specialist in Grand Rapids, MI, with 18 years of NPI registration. Based on federal Medicare data, Dr. Simmons performed 632 Medicare services across 597 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simmons received a total of $4,308 from 32 pharmaceutical and/or device companies across 83 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.
✓ 18 years in practice
▲ Top 10% volume in MI
$4,308 industry payments
Medicare Practice Summary
Medicare Utilization ↗632
Medicare services
Top 10% in MI for surgery
597
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~35 Medicare services per year of practice
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 |
|---|---|---|---|
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
151 | $54 | $305 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
84 | $135 | $654 |
| 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. |
52 | $66 | $155 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
51 | $120 | $556 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
39 | $91 | $472 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
30 | $11 | $37 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
28 | $65 | $198 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
25 | $88 | $470 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
24 | $101 | $211 |
| 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. |
23 | $95 | $226 |
| Ultrasound of head and neck blood flow, one side An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels on one side of the head and neck. |
19 | $88 | $419 |
| 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. |
18 | $82 | $228 |
| Balloon angioplasty of leg artery, initial vessel A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter. This is performed on the first vessel treated during the session. |
16 | $426 | $1,461 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
16 | $191 | $1,001 |
| Balloon dilation of leg artery A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter to restore blood flow. |
14 | $212 | $1,135 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
14 | $181 | $768 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
14 | $132 | $644 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
14 | $87 | $438 |
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. A higher procedure volume generally indicates more experience with that procedure.
8.1% high complexity
68.0% medium
23.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,308
Total received (2018-2024)
Avg $615/year across 7 years
Top 35% in MI for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
83
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,262 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (1.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$431
2023
$514
2022
$284
2021
$480
2020
$511
2019
$815
2018
$1,272
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Kerecis Limited
$132
Cook Medical LLC
$71
Abbott Laboratories
$58
Stryker Corporation
$39
Boston Scientific Corporation
$36
W. L. Gore & Associates, Inc.
$30
Ethicon US, LLC
$26
AngioDynamics, Inc.
$22
Teleflex LLC
$15
Top 3 companies account for 60.6% of 2024 payments
All-time payments by company (2018-2024) ›
Cardiovascular Systems Inc.
$1,184
BARD PERIPHERAL VASCULAR, INC.
$715
W. L. Gore & Associates, Inc.
$639
Endologix LLC
$316
Abbott Laboratories
$176
Kerecis Limited
$159
Endologix, LLC
$135
Cook Medical LLC
$123
LeMaitre Vascular, Inc.
$72
Janssen Pharmaceuticals, Inc
$67
AngioDynamics, Inc.
$64
Smith+Nephew, Inc.
$63
Boston Scientific Corporation
$61
Bard Peripheral Vascular, Inc.
$55
Cardinal Health 200 LLC
$55
Ethicon US, LLC
$48
Penumbra, Inc.
$41
Edwards Lifesciences Corporation
$40
Stryker Corporation
$39
Veryan Medical Incorporated
$35
LSI SOLUTIONS INC
$31
Medtronic Vascular, Inc.
$25
KCI USA, Inc.
$25
Amgen Inc.
$21
Endologix, Inc.
$19
CORDIS US CORP.
$18
ShockWave Medical, Inc
$18
Teleflex LLC
$15
Baxter Healthcare
$14
Biocomposites Inc
$13
Shockwave Medical, Inc
$12
Terumo Cardiovascular Systems Corporation
$10
Top 3 companies account for 58.9% of all-time payments
Associated products mentioned in payments ›
3M Cavilon · ALTO · ARTEGRAFT VASCULAR GRAFT · AURYON LASER SYSTEM 100-120 VAC · Alto Abdominal Stent Graft System · BioMimics 3D Vascular Stent System · C3 Delivery System · COOK · COR KNOT · Diamondback Peripheral · ELUVIA · EPIC · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Echelon Flex · EkoSonic · GORE TAG Thoracic Branch Endoprosthesis · GORE VIABAHN Endoprosthesis with Heparin · GORE VIABAHN VBX Balloon Expandable Endo · Hercules · IN.PACT Admiral · INSPIRIS RESILIA AORTIC VALVE · Indigo System · JETI PERIPHERAL CATHETER · Kerecis Omega3 SurgiClose · MANTA · MYNXGRIP · Ovation · PERCLOSE PROGLIDE · PREVELEAK · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · Repatha · RotarexS 6 F x 135 cm · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SPY-PHI SYSTEM · SURGICEL NU-KNIT · Santyl · Stimulan · TAG Thoracic Endoprosthesis · VIABAHN Endoprosthesis with Heparin Bioactive Surface · XARELTO · ZENITH · ZENITH SPIRAL-Z
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Surgerists within 10 mi
167
Per 100K population
25.3
County median income
$80,390
Nearest hospital
SPECTRUM HEALTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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 mixed practice specialist, with above-average Medicare volume (top 10% in MI), with low-engagement industry engagement, with 18 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 ultrasound of arm and leg arteries?
Based on Medicare claims data, Dr. Simmons performed 151 ultrasound of arm and leg arteries services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Simmons receive payments from pharmaceutical companies?
Yes. Dr. Simmons received a total of $4,308 from 32 companies across 83 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 surgerists in Grand Rapids?
Dr. Simmons's average Medicare payment per service is $100. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.
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