# James Simmons, DO

Source: https://ourhealthnetwork.com/doctor/james-simmons-do-1043519853
NPI: 1043519853
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

James Simmons, DO is a hospitalist based in Hanford, CA practicing at Reedley Community Hospital with NPI 1043519853.

## Profile

- Primary specialty: Hospitalist
- Secondary specialties: HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE
- Credential: DO
- Gender: Male
- Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
- Graduation year: 2011
- NPI: 1043519853 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1043519853))

## Practice and contact

- Practice name: Reedley Community Hospital
- Address: 115 Mall Dr, Hanford, CA, 932305786
- Group practice size: 45 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 98.43/100
- Quality category score: 84.71/100
- Promoting Interoperability score: 96.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 96.7101/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (7 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 6 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 3 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Blue Shield of California](https://ourhealthnetwork.com/insurance/blue-shield-of-california) — 2 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers James Simmons, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1043519853).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 3 disclosed payments from medical industry sources totaling approximately $309.

Largest disclosed payer: Janssen Pharmaceuticals, Inc ($151 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Hospitalist doctors in HANFORD, CA](https://ourhealthnetwork.com/hospitalist/ca/hanford)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1043519853)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)