DWELVIN L SIMMONS MD NPI 1740247311

NPI Information

  • NPI: 1740247311
  • Provider Name: DWELVIN L SIMMONS, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2161 KINGSLEY AVE
    SUITE 100
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 276-2303

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NPI Details

Dwelvin L Simmons, MD is a radiation oncology radiology in Orange Park, FL with 32 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Dwelvin L Simmons, MD NPI is 1740247311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

2161 KINGSLEY AVE
SUITE 100
ORANGE PARK, FL
ZIP 32073-116
Phone: (904) 276-2303
Fax: (904) 276-9690

The NPI 1740247311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complex radiation therapy planning (HCPCS:77263)
  • Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie (HCPCS:A9596)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 3d radiation therapy planning (HCPCS:77295)
  • Special radiation treatment (HCPCS:77470)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyME77936FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01596543OTHERFLORIDARR MEDICARE
27884043OTHERFLORIDAAETNA
368967OTHERFLORIDABCBS
4P00202470OTHERFLORIDAMEDICARE RAILROAD
5CZ876VMEDICARE PINFLORIDA
6CZ876YMEDICARE PINFLORIDA
7CZ876ZMEDICARE PINFLORIDA
8CZ876TMEDICARE PINFLORIDA
9P01451925OTHERFLORIDARR MEDICARE
101115826OTHERFLORIDACARE PLUS
11258515OTHERFLORIDAAVMED
1268967MMEDICARE PINFLORIDA
131099111OTHERFLORIDAWELLCARE
141254570OTHERFLORIDASTAYWELL (MEDICAID) AND WELLCARE (MEDICARE).
15CZ876WMEDICARE PINFLORIDA
1668967XMEDICARE PINFLORIDA
1768967LMEDICARE PINFLORIDA
18CZ876RMEDICARE PINFLORIDA
1968967NMEDICARE PINFLORIDA
20G91262MEDICARE UPINFLORIDA
21256841100MEDICAIDFLORIDA
2268967UMEDICARE PINFLORIDA
23CZ876QMEDICARE PINFLORIDA
2468967OMEDICARE PINFLORIDA
257638449OTHERFLORIDACIGNA
26CZ876SMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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