TIMOTHY C SIMPLOT MD
NPI 1275591273
Otolaryngology in West Des Moines, IA

Active since May 02, 2006PECOS Enrolled
75/100
CMS Quality Rating
105 VALLEY WEST DR, STE 100, WEST DES MOINES, IA 50265(515) 223-4368(515) 453-2368 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy C Simplot Md NPPES

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

TIMOTHY C SIMPLOT MD (NPI 1275591273) is an individual otolaryngology provider in West Des Moines, Iowa, licensed in Iowa (32861) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1994).

NPPES Registry Identity

NPI1275591273
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTIMOTHY C SIMPLOTCredential: MD
Location Address105 VALLEY WEST DR, STE 100West Des Moines, IA 50265-3902
Mailing Address105 Valley West Dr, Ste 100West Des Moines, IA 50265-3902 · (515) 223-4368 · Fax (515) 453-2368
Fax(515) 453-2368
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 7, 2015
NPI 1275591273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IA · 32861
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

105 VALLEY WEST DR, West Des Moines, IA 50265

Other Identifiers 3

Medicaid0190975IA
Medicare UPING41842
Medicare PIN49534IA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy C Simplot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476647835
PECOS Enrollment IDI20091021000556
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 21

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.
347 services243 patients
Destruction of soft tissue of nasal passages 30801
Destruction of soft tissue in the nasal passages involves removing or reducing specific tissues in your nose that may be causing problems such as blockages or excessive snoring. The procedure is performed by a medical professional using specialized tools and techniques. It's typically safe and effective.
147 services68 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
106 services56 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.
98 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
94 services94 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
89 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50265 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 16

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

Speech-Language Pathologist
105 VALLEY WEST DR
WEST DES MOINES, IA 50265
Audiologist
105 VALLEY WEST DR
WEST DES MOINES, IA 50265
Audiologist
105 VALLEY WEST DR
WEST DES MOINES, IA 50265
Otolaryngology
105 VALLEY WEST DR, SUITE 100
WEST DES MOINES, IA 50265
Otolaryngology
105 VALLEY WEST DR, SUITE100
WEST DES MOINES, IA 50265
Otolaryngology
105 VALLEY WEST DR, SUITE 100
WEST DES MOINES, IA 50265
Otolaryngology
105 VALLEY WEST DR, SUITE 100
WEST DES MOINES, IA 50265
Physician Assistant
105 VALLEY WEST DR, SUITE 100
WEST DES MOINES, IA 50265

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 Timothy Simplot's NPI number?

The NPI number for Timothy Simplot is 1275591273. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Timothy Simplot located?

Timothy Simplot practices at 105 Valley West Dr Ste 100, West Des Moines, IA 50265. The listed phone number is (515) 223-4368.

What is Timothy Simplot's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Timothy Simplot enrolled in Medicare?

Yes. Timothy Simplot is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Simplot accept?

Health plans from Medica and Oscar Insurance Company list Timothy Simplot 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 Timothy Simplot affiliated with any hospitals?

According to CMS data, Timothy Simplot is affiliated with Mercyone Des Moines Medical Center and Wayne County Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Simplot was last updated on May 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.