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MICHAEL D SIMPSON M.D.
NPI 1205823184
Internal Medicine in Smyrna, GA

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4480 N COOPER LAKE RD SE, SMYRNA, GA 30082(770) 333-1300(770) 432-8312 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael D Simpson M.d. NPPES

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

MICHAEL D SIMPSON M.D. (NPI 1205823184) is an individual internal medicine provider in Smyrna, Georgia, licensed in Georgia (055647) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Howard University College Of Medicine (1998).

NPPES Registry Identity

NPI1205823184
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL D SIMPSONCredential: M.D.
Location Address4480 N COOPER LAKE RD SESmyrna, GA 30082-4622
Mailing Address4480 N Cooper Lake Rd SeSmyrna, GA 30082-4622 · (770) 333-1300 · Fax (770) 432-8312
Phone(770) 333-1300
Fax(770) 432-8312
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1998
Enumeration DateOctober 5, 2005
Last NPPES UpdateApril 17, 2014
✔ NPI 1205823184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 055647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 055647 (GA)
4480 N COOPER LAKE RD SE, Smyrna, GA 30082
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH44328GA
Medicare ID-Type Unspecified37BBGSTGA
Medicaid609580122AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Michael D 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 ID1850349531
PECOS Enrollment IDI20050210000278
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 10

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.
244 services202 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
93 services87 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.
60 services57 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
47 services43 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30082 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035
MR. SPENCER ALEXANDER PATRICK DDS
Dentist (General Practice)
4480 N COOPER LAKE RD SE, SUITE 210
SMYRNA, GA 30082
Cobb County (770) 863-0005
DR. JAMES K SMITH MD
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Cobb County (470) 644-0122
WELLSTAR RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 792-5275
WELLSTAR MEDICAL GROUP, LLC
Allergy & Immunology
4480 N COOPER LAKE RD SE, STE. 101
SMYRNA, GA 30082
Cobb County (770) 333-2027
WELLSTAR MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
4480 N COOPER LAKE RD SE, SUITE 100
SMYRNA, GA 30082
Cobb County (770) 333-1300
SURABHI ARJUNAN MD
Internal Medicine
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035

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 Michael Simpson's NPI number?

The NPI number for Michael Simpson is 1205823184. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Michael Simpson located?

Michael Simpson practices at 4480 N Cooper Lake Rd SE, Smyrna, GA 30082. The listed phone number is (770) 333-1300.

What is Michael Simpson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Simpson enrolled in Medicare?

Yes. Michael 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 Michael Simpson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michael 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 Michael Simpson affiliated with any hospitals?

According to CMS data, Michael Simpson is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Simpson was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.