Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Joseph Simmons, MD

Individual provider Otolaryngology Physician · NPI 1366554586

Michael Joseph Simmons, MD is an Otolaryngology in Jefferson City, Missouri. Qualified in 1990, 36 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 556-7708
Fax: (573) 893-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 110060 (MO)

Record details

NPI number1366554586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESOctober 15, 2012
Mailing addressPo Box 104240, Jefferson City, MO 65110-4240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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