Dr. Donald Simmons, MD
What this data tells you about Dr. Simmons
Dr. Donald Simmons is a family medicine specialist in Muenster, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Simmons performed 5,835 Medicare services across 2,278 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simmons received a total of $5,518 from 36 pharmaceutical and/or device companies across 318 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,953 | $92 | $180 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,840 | $50 | $120 |
| Office visit, established patient (30-39 min) | 382 | $57 | $164 |
| Office visit, established patient (20-29 min) | 326 | $43 | $112 |
| Transitional care management services for problem of high complexity | 207 | $197 | $349 |
| Dexamethasone injection (steroid) | 181 | $0 | $4 |
| Nursing facility visit, low complexity | 170 | $51 | $103 |
| Hemoglobin A1c test (diabetes monitoring) | 139 | $9 | $44 |
| Annual wellness visit, follow-up | 136 | $120 | $227 |
| Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve | 102 | $60 | $159 |
| Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code | 100 | $60 | $159 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 63 | $154 | $240 |
| Drug injection, under skin or into muscle | 53 | $7 | $45 |
| Emergency department visit with low level of medical decision making | 37 | $49 | $189 |
| Transitional care management services for problem of at least moderate complexity | 34 | $152 | $243 |
| Emergency department visit, moderate complexity | 33 | $92 | $346 |
| Urinalysis, manual | 31 | $3 | $16 |
| New patient office visit (45-59 min) | 19 | $92 | $237 |
| Annual depression screening | 18 | $17 | $35 |
| New patient office visit (30-44 min) | 11 | $32 | $152 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Simmons is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), with low-engagement industry engagement in the top 11% of TX peers, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Simmons experienced with complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month?
Does Dr. Simmons receive payments from pharmaceutical companies?
How do Dr. Simmons's costs compare to other family medicine physicians in Muenster?
What does Data Coverage mean?
Is this data up to date?
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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. The Transparency Score measures 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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