SCOTT WAYNE SIMPSON D.O.
NPI 1073933438
Emergency Medicine in Pittsburgh, PA

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213(412) 647-5815 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2018, Jul 17, 2017 (2 updates tracked since 2017).

About Scott Wayne Simpson D.o. NPPES

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

SCOTT WAYNE SIMPSON D.O. (NPI 1073933438) is an individual emergency medicine provider in Pittsburgh, Pennsylvania, licensed in Texas (Q7794) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073933438
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSCOTT WAYNE SIMPSONCredential: D.O.
Location Address3600 FORBES AVE STE 140Pittsburgh, PA 15213
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · (412) 647-5815
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2014
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
✔ NPI 1073933438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · Q7794
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3600 FORBES AVE STE 140, Pittsburgh, PA 15213

Other Identifiers 1

Medicaid1073933438TX

Accepted 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

Scott Wayne Simpson D.o. 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 ID446520571
PECOS Enrollment IDI20171226001642
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 Reassignments

6

Medicare enrollment records show Scott Simpson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Pediatrics
200 LOTHROP ST, SUITE 9055 FORBES TOWER
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
General Practice
3909 W PARKER RD
Plano, TX 75023
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group
Critical Care Medicine
1900 PINE ST
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group

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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
197 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Anesthesiology
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Pediatrics (Pediatric Critical Care Medicine)
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Plastic Surgery
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213

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 Scott Simpson's NPI number?

The NPI number for Scott Simpson is 1073933438. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Scott Simpson located?

Scott Simpson practices at 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213. The listed phone number is (412) 647-5815.

What is Scott Simpson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Simpson enrolled in Medicare?

Yes. Scott 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 organizations bill Medicare for Scott Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Simpson reassigns Medicare benefits to 6 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Upmc Community Medicine Inc (Pittsburgh, PA), Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Wellness & Care Group Of Texas, Inc. (Plano, TX), Pcca Texas Intensivists, PLLC (Abilene, TX) and 1 more organization, listed in the Medicare section above. Each 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 Scott Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Simpson accept?

Health plans from Blue Cross and Blue Shield of Texas list Scott 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.

Is Scott Simpson affiliated with any hospitals?

According to CMS data, Scott Simpson is affiliated with Hendrick Medical Center and Hendrick Medical Center Brownwood.

When was this NPI record last updated?

The NPPES record for Scott Simpson was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.