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NICKLIS C SIMPSON DMD
NPI 1043218373
Dentist - General Practice in Mcminnville, OR

Active since July 11, 2005PECOS Enrolled
2080 NE HWY 99 W, MCMINNVILLE, OR 97128(503) 472-2445(541) 764-3852 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicklis C Simpson Dmd NPPES

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

NICKLIS C SIMPSON DMD (NPI 1043218373) is an individual general practice provider in Mcminnville, Oregon, licensed in Oregon (ORD4556) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043218373
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICKLIS C SIMPSONCredential: DMD
Location Address2080 NE HWY 99 WMcminnville, OR 97128
Mailing Address301 Sw Valleys Edge StMcminnville, OR 97128-5576 · (541) 961-0259 · Fax (541) 764-3852
Phone(503) 472-2445
Fax(541) 764-3852
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1043218373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · ORD4556✔ Licensed in OR · 4556
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2080 NE HWY 99 W, Mcminnville, OR 97128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicklis C Simpson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97128 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nicklis Simpson's NPI number?

The NPI number for Nicklis Simpson is 1043218373. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Nicklis Simpson located?

Nicklis Simpson practices at 2080 NE Hwy 99 W, Mcminnville, OR 97128. The listed phone number is (503) 472-2445.

What is Nicklis Simpson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicklis Simpson enrolled in Medicare?

Yes. Nicklis Simpson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicklis Simpson was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.