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DR. SCOTT C SIMPSON M.D.
NPI 1083656334
Ophthalmology in Meridian, ID

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3715 E OVERLAND ROAD, SUITE 250, MERIDIAN, ID 83642(208) 855-5950(208) 855-5940 Get Directions Write a Review

NPPES record last updated: February 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott C Simpson M.d. NPPES

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

DR. SCOTT C SIMPSON M.D. (NPI 1083656334) is an individual ophthalmology provider in Meridian, Idaho, licensed in Idaho (M-8696) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Washington University School Of Medicine (1991).

NPPES Registry Identity

NPI1083656334
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SCOTT C SIMPSONCredential: M.D.
Location Address3715 E OVERLAND ROAD, SUITE 250Meridian, ID 83642
Mailing Address3715 E Overland Road, Suite 250Meridian, ID 83642 · (208) 855-5950 · Fax (208) 855-5940
Phone(208) 855-5950
Fax(208) 855-5940
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 1991
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 9, 2019
✔ NPI 1083656334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ID · M-8696
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License M-8696 (ID)
3715 E OVERLAND ROAD, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Dr. Scott C Simpson 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 ID5799870549
PECOS Enrollment IDI20071009000334
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 9

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,240 services15 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,131 services351 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,092 services334 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
245 services87 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
210 services34 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
105 services105 patients

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
57%21 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
100%326 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
97%36 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
17%306 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
90%4,198 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%987 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 839 patients
Patients screened: 100% · 839 patients
95%60 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%41 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,009 patients
Patients totalRate: 0% · 1,009 patients
0%1,009 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

RETINA CONSULTANTS OF IDAHO, PLLC
Ophthalmology
3715 E OVERLAND ROAD, SUITE 250
MERIDIAN, ID 83642
Ada County (208) 855-5950

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 1083656334. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Scott Simpson located?

Scott Simpson practices at 3715 E Overland Road Suite 250, Meridian, ID 83642. The listed phone number is (208) 855-5950.

What is Scott Simpson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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.

What insurance does Scott Simpson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health 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 Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Simpson was last updated on February 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.