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STEPHEN T SIMPSON JR. MD
NPI 1013940998
Internal Medicine in Mobile, AL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1261 HILLCREST ROAD SUITE C, MOBILE, AL 36695(251) 633-4949(251) 633-4363 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen T Simpson Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN T SIMPSON JR. MD (NPI 1013940998) is an individual internal medicine provider in Mobile, Alabama, licensed in Alabama (MD.24563) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1013940998
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN T SIMPSON JR.Credential: MD
Location Address1261 HILLCREST ROAD SUITE CMobile, AL 36695
Mailing Address1700 Springhill Avenue Suite 100Mobile, AL 36604 · (251) 633-4949 · Fax (251) 633-4363
Phone(251) 633-4949
Fax(251) 633-4363
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 1, 2011
✔ NPI 1013940998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.24563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD.24563 (AL)
Also ListedHospitalistTaxonomy 208M00000X · License MD.24563 (AL)
1261 HILLCREST ROAD SUITE C, Mobile, AL 36695
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Other Identifiers 18

Other1013940998AL · Tricare South
Medicare PIN051532293AL
Other515-97159AL · Bcbs
Medicaid009935609AL
Medicaid009936118AL
Medicaid009938391AL
Medicare PINP00299909AL
Medicare PIN051557314AL
Other515-32292AL · Bcbs
Other515-98873AL · Bcbs
Other515-33389AL · Bcbs
Medicare UPINH85082AL
Medicaid009935317AL
Medicare PIN102I119269AL
Other515-33390AL · Bcbs
Medicaid009936119AL
Other515-970106AL · Bcbs
Medicaid009936121AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen T Simpson Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587670112
PECOS Enrollment IDI20060306000569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Simpson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Shore Urgent Care LLC
20 mi
Family Medicine
29710 URGENT CARE DRIVE
Daphne, AL 36526
  • Reassigned Medicare billing, Alabama enrollment
  • 18 clinicians in this Medicare group
NPI 1376706275 (251) 626-3782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
370 services124 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
88 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers40 claims84 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims22 services$0.99 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims5,040 services$1.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier21 claims21 services$175.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Simpson's NPI number?

The NPI number for Stephen Simpson is 1013940998. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Stephen Simpson located?

Stephen Simpson practices at 1261 Hillcrest Road Suite C, Mobile, AL 36695. The listed phone number is (251) 633-4949.

What is Stephen Simpson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Simpson enrolled in Medicare?

Yes. Stephen Simpson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephen Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Simpson reassigns Medicare benefits to Eastern Shore Urgent Care LLC (Daphne, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Simpson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Stephen Simpson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Simpson was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.