JAMES T SIMINSKI M.D.
NPI 1043206188
Internal Medicine - Pulmonary Disease in Hurst, TX

Q: What is James Siminski's NPI number?

The NPI number for James Siminski is 1043206188. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is James Siminski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for James Siminski was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

97.35/100

CMS Quality Rating

2000 PRECINCT LINE RD STE 101, HURST, TX 76054(817) 284-4343(817) 590-4393 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2025, Aug 6, 2021, Apr 1, 2021 and 1 more (4 updates tracked since 2021).

On this page

About James T Siminski M.d. NPPES

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

JAMES T SIMINSKI M.D. (NPI 1043206188) is an individual pulmonary disease provider in Hurst, Texas, licensed in Texas (J1041) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hurst-euless-bedford, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043206188

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJAMES T SIMINSKICredential: M.D.

Location Address2000 PRECINCT LINE RD STE 101Hurst, TX 76054-3185

Mailing Address601 Omega Dr Ste 208Arlington, TX 76014-2075 · (817) 465-5881 · Fax (817) 465-6336

Phone(817) 284-4343

Fax(817) 590-4393

Sole ProprietorNo

Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 1985

Enumeration DateSeptember 23, 2005

Last NPPES UpdateMay 20, 20254 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1043206188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · J1041

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License J1041 (TX)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 43106 (OK), J1041 (TX), 036.149472 (IL)

2000 PRECINCT LINE RD STE 101, Hurst, TX 76054

Open in Google Maps ↗

Secondary Practice Locations 4

Location 13030 Warrenville Rd Ste 210Lisle, IL 60532-3646 · Phone (872) 215-0361

Location 26868 San Pedro AveSan Antonio, TX 78216-7201 · Phone (872) 215-0361

Location 34200 W Memorial Rd Ste 805Oklahoma City, OK 73120-8359 · Phone (872) 215-0361

Location 42641 Haddassah DrNaperville, IL 60565-3067 · Phone (872) 215-0361

Other Identifiers 1

Medicaid124086303TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

James T Siminski M.d. 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 ID9133212277

PECOS Enrollment IDI20071018000363

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 James Siminski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Pulmonary & Critical Care Consultants, PA

12 mi

Pulmonary Disease

1201 FAIRMOUNT AVE
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
52 clinicians in this Medicare group

NPI 1427127968 (817) 335-5288

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 8

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 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.

147 services128 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

79 services79 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

56 services51 patients

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.

54 services43 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

36 services35 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450639

Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76054 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 31

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

27 suppliers306 claims306 services$30.72 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

24 suppliers234 claims234 services$75.23 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

23 suppliers233 claims664 services$29.06 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

15 suppliers92 claims529 services$16.31 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers80 claims419 services$12.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

22 suppliers169 claims169 services$47.00 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

28 suppliers224 claims224 services$14.37 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

9 suppliers24 claims24 services$8.00 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

15 suppliers73 claims73 services$10.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

31 suppliers363 claims2,088 services$1.80 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

10 suppliers38 claims38 services$4.53 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

21 suppliers173 claims173 services$10.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers26 claims26 services$13.04 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$47.35 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$45.45 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers14 claims14 services$86.31 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers12 claims12 services$190.36 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier11 claims11 services$801.54 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

13 suppliers29 claims29 services$115.88 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers36 claims36 services$11.17 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$5.63 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

21 suppliers268 claims268 services$28.02 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers145 claims145 services$63.69 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers94 claims94 services$30.64 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers21 claims1,260 services$4.78 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers24 claims3,658 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers37 claims3,570 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers14 claims1,080 services$0.82 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims561 services$0.16 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$31.98 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers62 claims62 services$24.20 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 3

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

DONALD L WASHINGTON JR. M.D.

Internal Medicine (Pulmonary Disease)

2000 PRECINCT LINE RD STE 101
HURST, TX 76054

Tarrant County (817) 284-4343

CAMERON G CRAIG DC

Chiropractor

2000 PRECINCT LINE RD STE 101
HURST, TX 76054

Tarrant County (800) 404-6050

DR. BRYSON A CLARK D.C.

Chiropractor

2000 PRECINCT LINE RD STE 101
HURST, TX 76054

Tarrant County (800) 404-6050

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 James Siminski's NPI number?

The NPI number for James Siminski is 1043206188. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is James Siminski located?

James Siminski practices at 2000 Precinct Line Rd Ste 101, Hurst, TX 76054. The listed phone number is (817) 284-4343.

What is James Siminski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Siminski enrolled in Medicare?

Yes. James Siminski 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 James Siminski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Siminski reassigns Medicare benefits to Texas Pulmonary & Critical Care Consultants, PA (Fort Worth, TX). 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 James Siminski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Siminski accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list James Siminski 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.

Is James Siminski affiliated with any hospitals?

According to CMS data, James Siminski is affiliated with Texas Health Harris Methodist Hurst-Euless-Bedford.

When was this NPI record last updated?

The NPPES record for James Siminski was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.