SIMONE R HAMPTON MD
NPI 1033184247
Family Medicine in Urbana, IL

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3170(217) 383-7650 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simone R Hampton Md NPPES

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

SIMONE R HAMPTON MD (NPI 1033184247) is an individual family medicine provider in Urbana, Illinois, licensed in Illinois (036108253) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).

NPPES Registry Identity

NPI1033184247
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIMONE R HAMPTONCredential: MD
Location Address611 W PARK STUrbana, IL 61801-2529
Mailing Address611 W Park StUrbana, IL 61801-2529 · (217) 383-6792
Fax(217) 383-7650
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 15, 2016
NPI 1033184247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036108253
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 W PARK ST, Urbana, IL 61801

Other Identifiers 3

Medicare PINIL3270460IL
Medicare UPINH78030
Medicaid036108253IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Simone R Hampton 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 ID3173612090
PECOS Enrollment IDI20071130000010
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.

Areas of Expertise CMS Part B claims 3

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.
125 services67 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.
64 services54 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.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

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
2 suppliers19 claims19 services$193.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801

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 Simone Hampton's NPI number?

The NPI number for Simone Hampton is 1033184247. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Simone Hampton located?

Simone Hampton practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3170.

What is Simone Hampton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simone Hampton enrolled in Medicare?

Yes. Simone Hampton 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.

Is Simone Hampton affiliated with any hospitals?

According to CMS data, Simone Hampton is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Simone Hampton was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.