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SEAN SCOTT SIMPSON MD, MS
NPI 1306402979
Surgery in Fredericksburg, TX

Active since May 19, 2019PECOS EnrolledAccepts Medicare Assignment
820 REUBEN ST STE A, FREDERICKSBURG, TX 78624(830) 990-1404(830) 992-2845 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Scott Simpson Md, Ms NPPES

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

SEAN SCOTT SIMPSON MD, MS (NPI 1306402979) is an individual surgery provider in Fredericksburg, Texas, licensed in Texas (V8032) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Hill Country Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306402979
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEAN SCOTT SIMPSONCredential: MD, MS
Location Address820 REUBEN ST STE AFredericksburg, TX 78624-4573
Mailing Address820 Reuben St Ste AFredericksburg, TX 78624-4573 · (830) 990-1404 · Fax (830) 992-2845
Phone(830) 990-1404
Fax(830) 992-2845
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2019
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1306402979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · V8032
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
820 REUBEN ST STE A, Fredericksburg, TX 78624
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sean Scott Simpson Md, Ms 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 ID547591216
PECOS Enrollment IDI20250807000117
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 Sean Simpson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Texas Physician Group, PLLC
0.2 mi
Internal Medicine
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1952016685 (615) 373-7600

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

Hospital Affiliations CMS Care Compare

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

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Sean Simpson's NPI number?

The NPI number for Sean Simpson is 1306402979. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Where is Sean Simpson located?

Sean Simpson practices at 820 Reuben St Ste A, Fredericksburg, TX 78624. The listed phone number is (830) 990-1404.

What is Sean Simpson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean Simpson enrolled in Medicare?

Yes. Sean 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.

Which organization bills Medicare for Sean Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Simpson reassigns Medicare benefits to South Texas Physician Group, PLLC (Fredericksburg, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Simpson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Sean 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 Sean Simpson affiliated with any hospitals?

According to CMS data, Sean Simpson is affiliated with Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Simpson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.