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DR. LERONE RAUL SIMPSON M.D.
NPI 1386828697
Surgery - Surgical Critical Care in Mcallen, TX

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
1801 S 5TH ST, SUITE 207, MCALLEN, TX 78503(956) 631-0393(956) 682-4689 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, Jul 21, 2022, Feb 15, 2017 (3 updates tracked since 2017).

About Dr. Lerone Raul Simpson M.d. NPPES

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

DR. LERONE RAUL SIMPSON M.D. (NPI 1386828697) is an individual surgical critical care provider in Mcallen, Texas, licensed in Texas (Q9907) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1386828697
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. LERONE RAUL SIMPSONCredential: M.D.
Location Address1801 S 5TH ST, SUITE 207Mcallen, TX 78503-2932
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 631-0393 · Fax (956) 682-4689
Phone(956) 631-0393
Fax(956) 682-4689
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 21, 2007
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1386828697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in TX · Q9907
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License Q9907 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1801 S 5TH ST, Mcallen, TX 78503
Open in Google Maps ↗

Secondary Practice Location 1

Location 11707 W Charleston Blvd Ste 160Las Vegas, NV 89102-2354 · Phone (702) 671-5150

Other Identifiers 1

Medicaid3637217-01TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lerone Raul Simpson 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 ID4284922030
PECOS Enrollment IDI20161011000365
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

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.

VOLVER A CASA HOME HEALTH SERVICES, INC.
Technician (Personal Care Attendant)
1801 S 5TH ST, SUITE C & D
MCALLEN, TX 78503
Hidalgo County (956) 353-6007
FIRST CHOICE PHC SERVICES
Home Health
1801 S 5TH ST, STE 117 B
MCALLEN, TX 78503
Hidalgo County (956) 683-7677
JULIAN GOMEZ III, M.D. PA
Surgery (Vascular Surgery)
1801 S 5TH ST, SUITE 124
MCALLEN, TX 78503
Hidalgo County (956) 630-2786
HONEYBEE CATEDRAL APOLINARIO PT
Physical Therapist
1801 S 5TH ST, SUITE 205
MCALLEN, TX 78503
Hidalgo County (956) 467-5409
JOSEPH DAMIAN MCDONALD M.D.
Pediatrics
1801 S 5TH ST, STE 114
MCALLEN, TX 78503
Hidalgo County (956) 682-6346
MRS. MAXINE CANO GUTIERREZ LCSW
Social Worker (Clinical)
1801 S 5TH ST, SUITE #122
MCALLEN, TX 78503
Hidalgo County (956) 630-9454
ACCURATE VASCULAR DIAGNOSTIC CENTER, LLC
Physiological Laboratory
1801 S 5TH ST, SUITE 208
MCALLEN, TX 78503
Hidalgo County (956) 994-9193
DR. JULIAN GOMEZ III MD
Surgery (Vascular Surgery)
1801 S 5TH ST, STE 124
MCALLEN, TX 78503
Hidalgo County (956) 630-2786

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 Lerone Simpson's NPI number?

The NPI number for Lerone Simpson is 1386828697. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Lerone Simpson located?

Lerone Simpson practices at 1801 S 5th St Suite 207, Mcallen, TX 78503. The listed phone number is (956) 631-0393.

What is Lerone Simpson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Lerone Simpson enrolled in Medicare?

Yes. Lerone 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 Lerone Simpson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Lerone 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 Lerone Simpson affiliated with any hospitals?

According to CMS data, Lerone Simpson is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Lerone Simpson was last updated on July 20, 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.