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ROBERT SIMEK M.D.
NPI 1306009436
Pediatrics - Pediatric Gastroenterology in Lubbock, TX

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
4102 24TH ST STE 401, LUBBOCK, TX 79410(806) 725-5830(806) 796-6131 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Mar 24, 2021, Jun 18, 2020 and 1 more (4 updates tracked since 2019).

About Robert Simek M.d. NPPES

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

ROBERT SIMEK M.D. (NPI 1306009436) is an individual pediatric gastroenterology provider in Lubbock, Texas, licensed in Texas (P9961) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2008).

NPPES Registry Identity

NPI1306009436
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameROBERT SIMEKCredential: M.D.
Location Address4102 24TH ST STE 401Lubbock, TX 79410-1804
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(806) 725-5830
Fax(806) 796-6131
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1306009436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · P9961
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
4102 24TH ST STE 401, Lubbock, TX 79410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.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

Robert Simek 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 ID1658599410
PECOS Enrollment IDI20140820002057
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

JAMES VERN HIGGINS MD
Pediatrics (Pediatric Gastroenterology)
4102 24TH ST STE 401
LUBBOCK, TX 79410
Lubbock County (806) 725-5830
DR. MICHAEL SCOTT FOREMAN M.D.
Pediatrics (Pediatric Gastroenterology)
4102 24TH ST STE 401
LUBBOCK, TX 79410
Lubbock County (806) 725-5830

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 Robert Simek's NPI number?

The NPI number for Robert Simek is 1306009436. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Robert Simek located?

Robert Simek practices at 4102 24th St Ste 401, Lubbock, TX 79410. The listed phone number is (806) 725-5830.

What is Robert Simek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Robert Simek enrolled in Medicare?

Yes. Robert Simek 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 Robert Simek accept?

Health plans from Baylor Scott and White Health Plan list Robert Simek 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.

When was this NPI record last updated?

The NPPES record for Robert Simek was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.