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MARC P SIMPAO MD
NPI 1427244946
Internal Medicine in Austin, TX

Active since September 18, 2007PECOS Enrolled
72.52/100
CMS Quality Rating
1301 W 38TH ST, #205, AUSTIN, TX 78705(512) 324-1864(512) 419-9016 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marc P Simpao Md NPPES

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

MARC P SIMPAO MD (NPI 1427244946) is an individual internal medicine provider in Austin, Texas, licensed in Texas (M7632) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427244946
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARC P SIMPAOCredential: MD
Location Address1301 W 38TH ST, #205Austin, TX 78705-1011
Mailing AddressPo Box 26726Austin, TX 78755-0726 · (512) 407-8686 · Fax (512) 406-6216
Phone(512) 324-1864
Fax(512) 419-9016
Sole ProprietorYes
Enumeration DateSeptember 18, 2007
Last NPPES UpdateDecember 20, 2016
✔ NPI 1427244946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M7632
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.
1301 W 38TH ST, Austin, TX 78705
Open in Google Maps ↗

Other Identifiers 8

Medicaid195158403TX
Medicaid195158401TX
Medicare PINP01155003TX
Medicaid195158402TX
Medicare PINP00629004TX
Medicaid195158404TX
Medicare PIN8K8519TX
Medicare PIN8L5115TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc P Simpao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%55 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WILLIAM R WOODWARD MD
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
TEXAS CARDIOVASCULAR CONSULTANTS, PA
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Travis County (512) 617-6000
DR. KEVIN J. BOZIC MD
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Travis County (512) 454-4561
MEGAN LYN MCCOIN MD
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Travis County (512) 454-5721
AMANDA MAEGHAN HERRERA LCSW-S
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-3380
MARK J PIRWITZ MD, FACC
Internal Medicine (Interventional Cardiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Travis County (512) 324-3440
MATTHEW C ROBINSON M.D.
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Travis County (512) 459-0301
ZAHIR A MOMIN MD
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705
Travis County (512) 324-1864

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 Marc Simpao's NPI number?

The NPI number for Marc Simpao is 1427244946. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Marc Simpao located?

Marc Simpao practices at 1301 W 38th St #205, Austin, TX 78705. The listed phone number is (512) 324-1864.

What is Marc Simpao's specialty?

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

Is Marc Simpao enrolled in Medicare?

Yes. Marc Simpao is registered in the Medicare PECOS enrollment system.

What insurance does Marc Simpao accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Marc Simpao 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 Marc Simpao was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.