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DUSTIN T SIMCOE
NPI 1295108942
Physician Assistant in La Porte, IN

Active since November 03, 2015PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
401 NEWPORTE BLVD, LA PORTE, IN 46350(219) 575-6244(219) 380-0757 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2021, Sep 24, 2020 (2 updates tracked since 2020).

About Dustin T Simcoe NPPES

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

DUSTIN T SIMCOE (NPI 1295108942) is an individual physician assistant in La Porte, Indiana, licensed in Indiana (10001987A) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295108942
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDUSTIN T SIMCOE
Location Address401 NEWPORTE BLVDLa Porte, IN 46350-4099
Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-4004
Phone(219) 575-6244
Fax(219) 380-0757
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 3, 2015
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1295108942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10001987A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
401 NEWPORTE BLVD, La Porte, IN 46350
Open in Google Maps ↗

Secondary Practice Locations 4

Location 151 Mapleview RdWallingford, CT 06492 · Phone (765) 620-2764
Location 2809 LaPorte Ave Ste BValparaiso, IN 46383-5801 · Phone (219) 263-4977 · Fax (219) 263-4979
Location 3650 Dickinson RdChesterton, IN 46304-3387 · Phone (219) 926-7755 · Fax (219) 929-1885
Location 43630 Willowcreek RdPortage, IN 46368-5075 · Phone (219) 364-3900 · Fax (219) 364-3959

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Dustin T Simcoe 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 ID1557665338
PECOS Enrollment IDI20160216000226
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 8

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.
341 services305 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
98 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
68 services65 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.
55 services55 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services38 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KRYSTAL ANTRIM FNP
Nurse Practitioner (Family)
401 NEWPORTE BLVD
LAPORTE, IN 46350
Laporte County (219) 575-6244
CELIA JUDITH MOTA
Nurse Practitioner (Primary Care)
401 NEWPORTE BLVD
LA PORTE, IN 46350
Laporte County (219) 326-1775

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 Dustin Simcoe's NPI number?

The NPI number for Dustin Simcoe is 1295108942. It was assigned to this individual provider in the NPPES registry on November 3, 2015.

Where is Dustin Simcoe located?

Dustin Simcoe practices at 401 Newporte Blvd, La Porte, IN 46350. The listed phone number is (219) 575-6244.

What is Dustin Simcoe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dustin Simcoe enrolled in Medicare?

Yes. Dustin Simcoe 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 Dustin Simcoe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Dustin Simcoe 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 Dustin Simcoe affiliated with any hospitals?

According to CMS data, Dustin Simcoe is affiliated with Northwest Health-La Porte.

When was this NPI record last updated?

The NPPES record for Dustin Simcoe was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.