MARK THOMAS SIMPSON M.D.
NPI 1407837891
Family Medicine in Hixson, TN

Q: What is Mark Simpson's NPI number?

The NPI number for Mark Simpson is 1407837891. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Q: What is Mark Simpson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Simpson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment

4513 HIXSON PIKE, SUITE 102, HIXSON, TN 37343(423) 298-7071(423) 877-7901 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mark Thomas Simpson M.d. NPPES

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

MARK THOMAS SIMPSON M.D. (NPI 1407837891) is an individual family medicine provider in Hixson, Tennessee, licensed in Tennessee (19467) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1982).

NPPES Registry Identity

NPI1407837891

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK THOMAS SIMPSONCredential: M.D.

Location Address4513 HIXSON PIKE, SUITE 102Hixson, TN 37343-5039

Mailing Address4513 Hixson Pike Ste 102Hixson, TN 37343-5039 · (423) 298-7071 · Fax (423) 698-4045

Phone(423) 298-7071

Fax(423) 877-7901

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1982

Enumeration DateNovember 11, 2005

Last NPPES UpdateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1407837891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 19467

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4513 HIXSON PIKE, Hixson, TN 37343

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Accepted Insurance

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

Mark Thomas 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 ID4183676240

PECOS Enrollment IDI20050216000849

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 6

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.

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.

54 services29 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

50 services19 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.

27 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

20 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37343 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$5.43 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 8

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

MR. W JAMES OAKES DDS DDS

Dentist (General Practice)

4513 HIXSON PIKE, 103
HIXSON, TN 37343

Hamilton County (423) 875-6778

LAURYN WINSLETT OT, MSOT

Occupational Therapist

4513 HIXSON PIKE
HIXSON, TN 37343

Hamilton County (423) 922-7698

DR. LISA KAY ANTHONY PT,MSPT, DPT

Physical Therapist

4513 HIXSON PIKE
HIXSON, TN 37343

Hamilton County (615) 614-8833

DR. DOUGLAS TOMANELLI D.O.

Chiropractor (Rehabilitation)

4513 HIXSON PIKE, SUITE 104
HIXSON, TN 37343

Hamilton County (423) 877-1558

JESSICA K LINZ OT

Occupational Therapist

4513 HIXSON PIKE
HIXSON, TN 37343

Hamilton County (423) 922-7698

CAROLINE LEWIS

Speech-Language Pathologist

4513 HIXSON PIKE
HIXSON, TN 37343

Hamilton County (423) 922-7698

REBEKAH JABLONOWSKI OTR/L

Occupational Therapist

4513 HIXSON PIKE
HIXSON, TN 37343

Hamilton County (423) 922-7658

MARK SIMPSON, PC

Family Medicine

4513 HIXSON PIKE, SUITE 102
HIXSON, TN 37343

Hamilton County (423) 298-7071

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 Mark Simpson's NPI number?

The NPI number for Mark Simpson is 1407837891. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Mark Simpson located?

Mark Simpson practices at 4513 Hixson Pike Suite 102, Hixson, TN 37343. The listed phone number is (423) 298-7071.

What is Mark Simpson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Simpson enrolled in Medicare?

Yes. Mark 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 Mark Simpson accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Simpson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.