DR. STEPHEN D. SIMONICH M.D
NPI 1295710820
Orthopaedic Surgery - Sports Medicine in Katy, TX

Q: What is Stephen Simonich's NPI number?

The NPI number for Stephen Simonich is 1295710820. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Stephen Simonich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Simonich was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

23910 KATY FWY STE 201, KATY, TX 77494(713) 486-9800 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Stephen D. Simonich M.d NPPES

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

DR. STEPHEN D. SIMONICH M.D (NPI 1295710820) is an individual sports medicine provider in Katy, Texas, licensed in Texas (M2808) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Katy Hospital, and is a graduate of University Of Texas Medical School At Houston (1995).

NPPES Registry Identity

NPI1295710820

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. STEPHEN D. SIMONICHCredential: M.D

Location Address23910 KATY FWY STE 201Katy, TX 77494-1477

Mailing Address13635 Michel RdTomball, TX 77375-6410 · (281) 351-7261 · Fax (281) 351-2515

Phone(713) 486-9800

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1995

Enumeration DateDecember 6, 2005

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1295710820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · M2808

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License TEMPORARY (TX)

23910 KATY FWY STE 201, Katy, TX 77494

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen D. Simonich 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 ID2466467899

PECOS Enrollment IDI20060207000297

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.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Simonich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians

24 mi

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

231 services150 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

116 services88 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

71 services55 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.

69 services69 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.

24 services23 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450847

Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County

Emergency services Birthing friendly

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.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

Other Providers at the Same Location NPPES 15

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

JAMES EDWARD SHOWERY MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)