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DR. BENJAMIN DAVID SIMCOX D.O.
NPI 1316327299
Internal Medicine in Harrisburg, PA

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: December 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2020, Jun 25, 2018, Jun 21, 2018 (3 updates tracked since 2018).

About Dr. Benjamin David Simcox D.o. NPPES

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

DR. BENJAMIN DAVID SIMCOX D.O. (NPI 1316327299) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS019153) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1316327299
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BENJAMIN DAVID SIMCOXCredential: D.O.
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612
Phone(717) 231-8772
Fax(717) 231-8435
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateDecember 12, 20203 updates tracked since enumeration
NPPES CertifiedDecember 12, 2020
✔ NPI 1316327299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS019153
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License OS019153 (PA)
4300 LONDONDERRY RD, Harrisburg, PA 17109
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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

Dr. Benjamin David Simcox D.o. 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 ID7618257981
PECOS Enrollment IDI20180626000827
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
176 services166 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services54 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

Other Providers at the Same Location NPPES 20

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

JOANNA RAE PHILLIPPY
Occupational Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANIEL EUGENE KOLB
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
MIEKE KARIN SWANSON PT
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
PINNACLE HEALTH HOSPITALIST SERVICES LLC
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
N'SHEBA K THOMPSON
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANYA ABEDEEN
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (347) 545-8043
DR. ALIA ALSAIDY DO
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
GRACE BARTON PT, DPT
Physical Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 216-2700

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 Benjamin Simcox's NPI number?

The NPI number for Benjamin Simcox is 1316327299. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Benjamin Simcox located?

Benjamin Simcox practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 231-8772.

What is Benjamin Simcox's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Simcox enrolled in Medicare?

Yes. Benjamin Simcox 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.

Is Benjamin Simcox affiliated with any hospitals?

According to CMS data, Benjamin Simcox is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial, Upmc Hanover and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Simcox was last updated on December 12, 2020. 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.