Provider profile

Scott SimmonsMD

Orthopaedic Surgery

2 locationsNPI 1528175726
12500 Aurora Dr, Pleasant Prairie, WI 53158262-857-5000

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Medicare Advantage plans for Kenosha County, WI.

Checked Oct 27, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 29 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Scott on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 41 Medicare Advantage plans we show for Kenosha County, WI in 2027

  • 29 list Scott
  • 10 not listed
  • 2 not checked yet

Humana

14 plans list Scott.

14plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-011-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-410-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-020-000Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-001-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

5 plans list Scott.

5plans
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH9525-004-000Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-024-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage 3 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4036-008-000Medicare.gov
    $84a month
  • Anthem Dual Advantage Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH9525-028-000Medicare.gov
    $0a month

UnitedHealthcare

4 plans list Scott.

4plans
  • UHC Dual Advantage WI-V1 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH3794-004-000Medicare.gov
    $0a month
  • UHC Dual Complete WI-Q1 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH3794-002-000Medicare.gov
    $0a month
  • UHC Dual Complete WI-S1 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH3794-011-001Medicare.gov
    $0a month
  • UHC Dual Advantage WI-V2 (PPO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with Medicare and MedicaidDrug coverage3 starsH0294-027-000Medicare.gov
    $6.30a month

1 more UnitedHealthcare plan hasn't been checked yet.

Wellcare

3 plans list Scott.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH8189-008-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-001-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-007-000Medicare.gov
    $0a month

Molina Healthcare of Wisconsin

2 plans list Scott.

2plans
  • Molina My Choice Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158
    • 10400 75th St, Kenosha, WI, 53142

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-006-002Medicare.gov
    $0a month
  • Molina My Choice Partnership (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158
    • 10400 75th St, Kenosha, WI, 53142

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-005-002Medicare.gov
    $0a month

Community Care

1 plan lists Scott.

1plan
  • Community Care's Partnership Program (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 12500 Aurora Dr, Pleasant Prairie, WI, 53158

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH2034-001-000Medicare.gov
    $6.30a month

Aetna Medicare

Not listed on its 6 plans here. That isn't proof they're out of network.

iCare

Not listed on its 1 plan here. That isn't proof they're out of network.

Network Health Medicare Advantage Plans

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Network Health Medicare Advantage Plans plan hasn't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Scott takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

2 practice locations

12500 Aurora Dr
Pleasant Prairie, WI 53158

NPI Registry

10400 75th St, #301
Kenosha, WI 53142

NPI Registry
NPI issued
2006
Registry record updated
Nov 30, 2023

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Scott Simmons?

In Kenosha County, WI, 29 Medicare Advantage plans for 2027 list Scott in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Scott Simmons take Humana Medicare Advantage plans?

Humana's own provider directory lists Scott on 14 Medicare Advantage plans for 2027 in Kenosha County, WI, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). Confirm with the office or Humana before you enroll.

Does Scott Simmons take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Scott on 5 Medicare Advantage plans for 2027 in Kenosha County, WI, including Anthem Medicare Advantage (HMO-POS) and Anthem Veteran (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does Scott Simmons take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Scott on 4 Medicare Advantage plans for 2027 in Kenosha County, WI, including UHC Dual Advantage WI-V1 (HMO-POS D-SNP) and UHC Dual Complete WI-Q1 (HMO-POS D-SNP). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Where does Scott Simmons practice?

2 locations, including 12500 Aurora Dr, Pleasant Prairie, WI. All of them are listed on this page.

How do I confirm Scott is in my plan's network?

Call the member services number on your plan card and give them the NPI 1528175726, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Scott's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Scott Simmons on 7 plans from Aetna Medicare and iCare in Kenosha County, WI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2023-11-30). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 27, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Scott Simmons or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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