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DR. SUZANNE MARIE SIMKOVICH M.D., M.S.
NPI 1265870158
Internal Medicine in Charleston, SC

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425(843) 792-5006 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suzanne Marie Simkovich M.d., M.s. NPPES

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

DR. SUZANNE MARIE SIMKOVICH M.D., M.S. (NPI 1265870158) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL35852) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of University Of South Carolina School Of Medicine (2013).

NPPES Registry Identity

NPI1265870158
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUZANNE MARIE SIMKOVICHCredential: M.D., M.S.
Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333Charleston, SC 29425-8905
Mailing Address169 Ashley Ave, Room 202 Main Hospital Msc 333Charleston, SC 29425-8905 · (843) 792-5006
Phone(843) 792-5006
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013
Enumeration DateJune 13, 2013
✔ NPI 1265870158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL35852
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.
169 ASHLEY AVE, Charleston, SC 29425
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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 and accepts Medicare assignment

Dr. Suzanne Marie Simkovich M.d., M.s. 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 ID3375765183
PECOS Enrollment IDI20180129000098, I20220822003668
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 2

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.
70 services49 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.
22 services15 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

MR. BRUCE ALAN REEVES PT
Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Charleston County (843) 792-3481
KRISTINA CALAMIA
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3881
EMILY MCGILL MD
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2185
PAIGE WOODHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
KATIE FLOWER M.D.
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Charleston County (216) 385-5459
JENNIE HYEJIN KWON MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3072
DR. BRIAN ELLIS JACOBS MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
HANNAH ELIZABETH PRESSLER
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 754-7275

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 Suzanne Simkovich's NPI number?

The NPI number for Suzanne Simkovich is 1265870158. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Suzanne Simkovich located?

Suzanne Simkovich practices at 169 Ashley Ave Room 202 Main Hospital Msc 333, Charleston, SC 29425. The listed phone number is (843) 792-5006.

What is Suzanne Simkovich's specialty?

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

Is Suzanne Simkovich enrolled in Medicare?

Yes. Suzanne Simkovich 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.

Is Suzanne Simkovich affiliated with any hospitals?

According to CMS data, Suzanne Simkovich is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Suzanne Simkovich was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.