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MR. JON ALAN SIMPSON MD
NPI 1295815850
Orthopaedic Surgery in Crossville, TN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
118 BROWN AVE, STE 103, CROSSVILLE, TN 38555(931) 484-8861(931) 456-1319 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jun 23, 2020, Jan 9, 2017 (3 updates tracked since 2017).

About Mr. Jon Alan Simpson Md NPPES

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

MR. JON ALAN SIMPSON MD (NPI 1295815850) is an individual orthopaedic surgery provider in Crossville, Tennessee, licensed in Tennessee (020258) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1984).

NPPES Registry Identity

NPI1295815850
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. JON ALAN SIMPSONCredential: MD
Location Address118 BROWN AVE, STE 103Crossville, TN 38555-7739
Mailing Address118 Brown Ave, Ste 103Crossville, TN 38555-7739 · (931) 484-8861 · Fax (931) 456-1319
Phone(931) 484-8861
Fax(931) 456-1319
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1984
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1295815850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 020258
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
118 BROWN AVE, Crossville, TN 38555
Open in Google Maps ↗

Other Identifiers 9

Other3106523Bcbs
Other020258TN · State License Number
Other0552370001TN · Dme
Other200006546TN · Acs Number
Medicaid3051154TN
Other621419737TN · Tax Id
Medicaid4084528TN
Other1295815850TN · Dme
OtherCL3039TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Mr. Jon Alan Simpson Md 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 ID7810944501
PECOS Enrollment IDI20050408001128
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
196 services31 patients
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.
100 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.
92 services78 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
50 services41 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
37 services32 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.
36 services30 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%152 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
19%91 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%174 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%434 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%434 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%434 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier11 claims181 services$18.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

JON ALAN SIMPSON
Orthopaedic Surgery
118 BROWN AVE, STE 103
CROSSVILLE, TN 38555
Cumberland County (931) 484-8861
CUMBERLAND OCCUPATIONAL AND URGENT CARE CENTER LLC
Clinic/Center
118 BROWN AVE, SUITE 102
CROSSVILLE, TN 38555
Cumberland County (931) 787-1990
MS. PATRICE MARIE KOSER COTA/L
Occupational Therapy Assistant
118 BROWN AVE, SUITE 104
CROSSVILLE, TN 38555
Cumberland County (931) 456-6608
DAVID LLOYD WILLIAMS OTR/L, CHT
Occupational Therapist
118 BROWN AVE, SUITE 104
CROSSVILLE, TN 38555
Cumberland County (931) 456-6608
ASHLEY RENEE REAGAN PA-C
Physician Assistant (Surgical)
118 BROWN AVE, STE 103
CROSSVILLE, TN 38555
Cumberland County (931) 484-8861

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 Jon Simpson's NPI number?

The NPI number for Jon Simpson is 1295815850. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jon Simpson located?

Jon Simpson practices at 118 Brown Ave Ste 103, Crossville, TN 38555. The listed phone number is (931) 484-8861.

What is Jon Simpson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jon Simpson enrolled in Medicare?

Yes. Jon 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 Jon Simpson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jon 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 Jon Simpson affiliated with any hospitals?

According to CMS data, Jon Simpson is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Simpson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.