MATTHEW E SIMPSON MD NPI 1003020116
Surgery - Surgical Critical Care in Springfield, MO
About MATTHEW E SIMPSON MD
Matthew Simpson is a provider established in Springfield, Missouri and his medical specialization is Surgery with a focus in surgical critical care with more than 20 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 4 years ago.
| NPI | 1003020116 |
| Provider Name | MATTHEW E SIMPSON MD |
| Provider Location Address | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 |
| Provider Mailing Address | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-09-2007 |
| Last Update Date | 12-27-2018 |
Matthew Simpson is enrolled in PECOS and is eligible to order or refer health care 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 and Cox Medical Center Branson.
Primary Taxonomy
| Taxonomy Code | 2086S0102X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Surgical Critical Care |
| License No. | 2009027536 |
| License State | MO |
| Taxonomy Description | A 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
Mailing Address
MATTHEW E SIMPSON MD
1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3000
PECOS Enrollment and Medicare Participation
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.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 4183762032 |
| PECOS Enrollment ID | I20091112000572 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 CENTERS | 3801 SOUTH NATIONAL AVENUE SPRINGFIELD, MO 65807 | (417) 269-6000 | Acute Care Hospitals | 260040 | |
| COX MEDICAL CENTER BRANSON | 525 BRANSON LANDING BLVD, PO BOX 650 BRANSON, MO 65615 | (417) 335-7000 | Acute Care Hospitals | 260094 |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 2009027536 | MO | No | |
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 |
|---|---|---|
| 1003020116 | MEDICAID (05) | MO |
| 207157405 | MEDICAID (05) | MO |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 2 | 0 | 1 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 2 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 2 + 0 + 1 + 2 + 24 = 34 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 34 = 6 | 6 | ||||||||
The NPI number 1003020116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
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 | Dermatology | 1001 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 | Otolaryngology | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3462 |
| 1073548228 | ROY W HOLAND MD Individual | Orthopaedic Surgery | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3000 |
| 1104851526 | LESTER E COX MEDICAL CENTERS Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3307 |
| 1588677306 | DR. ROBERT E HUFFT M.D. Individual | Orthopaedic Surgery | 1001 E PRIMROSE ST 3RD FLOOR SPRINGFIELD, MO 65807 (417) 875-3993 |
| 1144310806 | LESTER E. COX MEDICAL CENTERS Organization | Orthopaedic Surgery | 1001 E PRIMROSE ST 3RD FLOOR SPRINGFIELD, MO 65807 (417) 875-3993 |
| 1649352683 | KARA D NOVINGER AU.D. Individual | Audiologist | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3462 |
| 1891869004 | REGIONAL SERVICES Organization | Orthopaedic Surgery | 1001 E PRIMROSE ST 3RD FLOOR SPRINGFIELD, MO 65807 (417) 875-3993 |
| 1649337825 | MRS. AMANDA JANINE BARTLETT PA-C Individual | Physician Assistant | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3000 |
| 1164603973 | BARON CARDIOLOGY GROUP, PC Organization | Internal Medicine (Cardiovascular Disease) | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 861-5565 |
| 1245278522 | HOWARD W FOLLIS MD Individual | Urology | 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 (417) 875-3000 |
| 1851339303 | LEHMAN W GODWIN MD Individual | Internal Medicine | 1001 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 | Surgery | 1001 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 Medicine | 1001 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
Matthew E Simpson Md is registered as an entity type code: 1. The entity type code describes 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.