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Jesse J Simmons, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1467888065

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
13 years
Graduated 2013

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location · California Luna Care Physical Therapy PC · 769 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jesse J Simmons’s office at (866) 525-3175 to ask if they take your plan before you enroll.

California Medical Board record

Licence C40517 · Cancelled

Licence status: Cancelled · since 1982 · Tufts University School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$12,818

Medicare paid this office $12,818 for 25 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities25$6,011$26
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24$2,606$19
Evaluation for physical therapy, typically 20 minutes24$2,158$83
Therapy procedure using manual technique, each 15 minutes12$1,691$17

Who their Medicare patients are

25 Original Medicare patients in 2024. Average age 77 · Health risk score 1.65. Sicker patients than 9 in 10 peers; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 64%.

The office billed $45,300, Medicare allowed $16,328 and paid $12,818; for 510 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202425510771.65$45,300$12,818
202322915770.93$79,010$22,298
2015662,859711.03$87,113$47,876
2014663,615680.90$72,929$53,525
201320829630.70$15,637$12,108

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Therapy procedure using functional activities20$11,328$27
Therapy procedure using manual technique, each 15 minutes15$4,503$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19$4,324$20
Evaluation for physical therapy, typically 20 minutes22$2,093$87

2015: 9 services

Original Medicare services billed in 2015
Therapy procedure using manual technique, each 15 minutes63$15,229$19
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62$14,013$24
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care53$3,778$8
Physical therapy evaluation57$3,493$60
Therapy procedure in a group setting40$3,322$11
Application of mechanical traction29$2,785$10
Physical therapy re-evaluation37$1,652$34
Therapy procedure using functional activities15$1,069$24
Application of heat wave therapy19$501$3

2014: 9 services

Original Medicare services billed in 2014
Therapy procedure using manual technique, each 15 minutes65$17,649$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59$17,286$20
Application of mechanical traction54$4,941$9
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care57$4,737$8
Therapy procedure in a group setting55$2,673$10
Physical therapy evaluation44$2,261$48
Physical therapy re-evaluation43$1,813$28
Therapy procedure using functional activities27$1,278$21
Application of heat wave therapy25$541$3

2013: 7 services

Original Medicare services billed in 2013
Therapy procedure using manual technique, each 15 minutes19$4,397$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18$3,143$19
Application of mechanical traction15$1,178$10
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care18$939$8
Therapy procedure in a group setting18$793$10
Physical therapy evaluation16$669$42
Physical therapy re-evaluation12$380$25

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
88.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1467888065
Licence
CA 40517California C40517: Cancelled
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
9610 Granite Ridge Dr, Suite C, San Diego, CA, 92123
NPI first listed
2013-09-16
NPI last updated
2013-09-16

This is when the NPI record was last certified, not a medical board exam.