MATTHEW E SIMPSON MD NPI 1003020116

Surgery (Surgical Critical Care) in Springfield, MO

NPI 1003020116 Individual Male Years of Experience 19 Surgery Surgical Critical Care PECOS Enrolled Accepts Medicare Approved Payment

About MATTHEW SIMPSON

Matthew Simpson is a provider established in Springfield, Missouri and his medical specialization is surgery (surgical critical care) with more than 19 years of experience. The NPI number of Matthew Simpson is 1003020116 and was assigned on May 2007. The practitioner's primary taxonomy code is 2086S0102X with license number 2009027536 (MO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Matthew Simpson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Matthew Simpson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Cox Medical Centers, Cox Medical Center Branson, Cox Monett Hospital and Mercy Hospital Springfield.

NPI

1003020116

Provider Name MATTHEW E SIMPSON MD
Provider Location Address1001 E PRIMROSE ST SPRINGFIELD, MO 65807
Provider Mailing Address1001 E PRIMROSE ST SPRINGFIELD, MO 65807
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-09-2007
Last Update Date12-27-2018


Primary Taxonomy

Taxonomy Code2086S0102X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationSurgical Critical Care
License No.2009027536
License StateMO
Taxonomy DescriptionA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Business Address

MATTHEW E SIMPSON MD
1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3000
Fax: (417) 875-3585

Get Directions


Mailing Address

MATTHEW E SIMPSON MD
1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3000



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4183762032
PECOS Enrollment IDI20091112000572
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 22Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • 20Removal of gallbladder using an endoscope (HCPCS:47562)
  • 16Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Simpson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COX MEDICAL CENTERS3801 SOUTH NATIONAL AVENUE
SPRINGFIELD, MO 65807
(417) 269-6000Acute Care Hospitals260040
COX MEDICAL CENTER BRANSON525 BRANSON LANDING BLVD, PO BOX 650
BRANSON, MO 65615
(417) 335-7000Acute Care Hospitals260094
COX MONETT HOSPITAL1000 E US HIGHWAY 60
MONETT, MO 65708
(417) 354-1400Critical Access Hospitals261329
MERCY HOSPITAL SPRINGFIELD1235 E CHEROKEE
SPRINGFIELD, MO 65804
(417) 820-2000Acute Care Hospitals260065

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgery2009027536MONo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1003020116MEDICAID (05)MO
207157405MEDICAID (05)MO

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427096668 LAWRENCE E GURIAN MD
Individual
Internal Medicine (Gastroenterology)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1649218025 WOLFE B GERECHT MD
Individual
Internal Medicine (Infectious Disease)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1073555926 MICHAEL S CAUSEY MD
Individual
Dermatology1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1548202419 JAMES W COULTER MD
Individual
Internal Medicine (Pulmonary Disease)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1568408243 JAMES B WOLFE MD
Individual
Otolaryngology1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1073548228 ROY W HOLAND MD
Individual
Orthopaedic Surgery1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1104851526LESTER E COX MEDICAL CENTERS
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3307
1588677306DR. ROBERT E HUFFT M.D.
Individual
Orthopaedic Surgery1001 E PRIMROSE ST 3RD FLOOR
SPRINGFIELD, MO 65807
(417) 875-3993
1144310806LESTER E. COX MEDICAL CENTERS
Organization
Orthopaedic Surgery1001 E PRIMROSE ST 3RD FLOOR
SPRINGFIELD, MO 65807
(417) 875-3993
1649352683 KARA D NOVINGER AU.D.
Individual
Audiologist1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3462
1891869004REGIONAL SERVICES
Organization
Orthopaedic Surgery1001 E PRIMROSE ST 3RD FLOOR
SPRINGFIELD, MO 65807
(417) 875-3993
1649337825MRS. AMANDA JANINE BARTLETT PA-C
Individual
Physician Assistant1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1164603973BARON CARDIOLOGY GROUP, PC
Organization
Internal Medicine (Cardiovascular Disease)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 861-5565
1245278522 HOWARD W FOLLIS MD
Individual
Urology1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1851339303 LEHMAN W GODWIN MD
Individual
Internal Medicine1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1124068630 SAILESH NAYAR MD
Individual
Internal Medicine (Nephrology)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1497797625 JOHN W BUCKNER MD
Individual
Surgery1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1881636090 ALBERT J BONEBRAKE MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1396788261 GARY A KELL MD
Individual
Internal Medicine (Nephrology)1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000
1689617755 M STEVEN PENNINGTON MD
Individual
Family Medicine1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
(417) 875-3000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.