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DR. THOMAS A SIMPATICO M.D.
NPI 1437234218
Psychiatry & Neurology - Psychiatry in Waterbury, VT

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
SOUTH MAIN STREET, WATERBURY, VT 05676(802) 241-3023(802) 241-3001 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Thomas A Simpatico M.d. NPPES

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

DR. THOMAS A SIMPATICO M.D. (NPI 1437234218) is an individual psychiatry provider in Waterbury, Vermont, licensed in Vermont (042-0010740) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1437234218
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS A SIMPATICOCredential: M.D.
Location AddressSOUTH MAIN STREETWaterbury, VT 05676
Mailing Address55 Tabor PlSouth Burlington, VT 05403-5602 · (802) 865-3355
Phone(802) 241-3023
Fax(802) 241-3001
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1984
Enumeration DateOctober 27, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1437234218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VT · 042-0010740
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
SOUTH MAIN STREET, Waterbury, VT 05676
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Secondary Practice Locations 7

Location 11 General Wing RdRutland, VT 05701-4681 · Phone (800) 468-9118
Location 22987 Vt Route 22AShoreham, VT 05770-9728 · Phone (802) 897-7000
Location 3215 Stratton RdRutland, VT 05701-4621 · Phone (802) 773-3386
Location 4278 Vt Route 149West Pawlet, VT 05775-9798 · Phone (802) 645-0580
Location 5275 Route 30 NBomoseen, VT 05732-9647 · Phone (802) 468-5641
Location 6420 Grove StBrandon, VT 05733-9062 · Phone (802) 247-6305
Location 771 Allen St Ste 402Rutland, VT 05701-4570 · Phone (800) 468-9118

Other Identifiers 1

Medicaid1010521VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Thomas A Simpatico 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 ID2668454190
PECOS Enrollment IDI20040607001024
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 Reassignments

2

Medicare enrollment records show Thomas Simpatico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Vermont Medical Center Inc
24 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000
Community Health Centers Of The Rutland Region, Inc.
40 mi
Family Medicine
420 GROVE ST
Brandon, VT 05733
NPI 1073567590 (802) 247-6305

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.

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05676 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 Thomas Simpatico's NPI number?

The NPI number for Thomas Simpatico is 1437234218. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Thomas Simpatico located?

Thomas Simpatico practices at South Main Street, Waterbury, VT 05676. The listed phone number is (802) 241-3023.

What is Thomas Simpatico's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Simpatico enrolled in Medicare?

Yes. Thomas Simpatico 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 organizations bill Medicare for Thomas Simpatico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Simpatico reassigns Medicare benefits to 2 organizations: University Of Vermont Medical Center Inc (Burlington, VT) and Community Health Centers Of The Rutland Region, Inc. (Brandon, VT). Each 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 Thomas Simpatico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Simpatico accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Simpatico 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 Thomas Simpatico affiliated with any hospitals?

According to CMS data, Thomas Simpatico is affiliated with Rutland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Simpatico was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.