Dr. James W. Simmons
- Gender: Male
- Experience: 23 years
- Graduated from: University Of Missouri, Columbia School Of Medicine
- Graduation year: 1998
- Sole propriator: No
- NPI: 1497706311
Dr. James W. Simmons MD
Family Physician
He is located at 988102 Nebraska Medical Center in Omaha, NE 68198. Can help patients with the following: Aging In Place, Birth Control Counseling, Breastfeeding and Lactation, Headache, Mold Exposure, Thyroid Disease. His National Provider Identifier (NPI) number is 1497706311. Appointment can be made via the phone number (402) 595-2275. He is affiliated with 2 practices and 2 hospitals.
Conditions treated
Dr. James W. Simmons, being an family physician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. James W. Simmons.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
Procedures Performed by Dr. James W. Simmons
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. James W. Simmons as in-network for the following 2026 plans.
Health plans
Ambetter Health
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Ambetter Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Choice Bronze HSA | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Choice Bronze HSA + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Clear Gold | EPO · Gold | Preferred | Accepting new patients |
| Clear Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Elite Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Gold | EPO · Gold | Preferred | Accepting new patients |
| Elite Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Standard Expanded Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Blue Cross and Blue Shield of Nebraska
Network data as of Sep 16, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HeartlandBlue Bronze HSA 6500 NEtwork Blue | EPO · Expanded Bronze | Preferred | Accepting new patients |
Medica
Network data as of Jul 13, 2026, as reported by the insurer.
Show all 18 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Elevate by Medica Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elevate by Medica Bronze Premier | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elevate by Medica Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elevate by Medica Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Elevate by Medica Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Elevate by Medica Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Elevate by Medica Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Elevate by Medica Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Elevate by Medica Silver Standard | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Bronze Premier | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Bronze Share | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Silver Standard | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | EPO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 14 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | EPO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard+ (Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. James W. Simmons is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. James W. Simmons is enrolled to bill Medicare as a Practitioner - Family Practice (also registered under: Practitioner - Emergency Medicine) .
Bills through: Unmc Physicians
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| GlaxoSmithKline | $97 |
| Pfizer | $51 |
| Novo Nordisk | $27 |
Other
| Food and Beverage | $288 |
| Promotional Speaking or Service | $23 |
Studies
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated in 1998
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Questions & Answers
What conditions does Dr. James W. Simmons treat?
Dr. James W. Simmons provides treatment for Aging In Place, Birth Control Counseling, Breastfeeding and Lactation, Headache, Mold Exposure, Thyroid Disease. For the full list see this list.
Does Dr. James W. Simmons accept patients with Medica?
Yes, Dr. James W. Simmons is listed in-network for Medica through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Does Dr. James W. Simmons have affiliation with practices?
Dr. James W. Simmons is affiliated with Village Pointe Aesthetic Surgery. For the full list of practices see this list.
Where can you meet with Dr. James W. Simmons?
Dr. James W. Simmons's office is located at 988102 Nebraska Medical Center in Omaha, NE 68198.
Has Dr. James W. Simmons affiliation with hospitals?
Dr. James W. Simmons is affiliated with THE NEBRASKA MEDICAL CENTER. For the full list of hospitals see this list.