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AMY C SIMSA PA
NPI 1437241155
Physician Assistant in Morgantown, WV

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2000 MON HEALTH MEDICAL PARK DR, SUITE 2300, MORGANTOWN, WV 26505(304) 599-8802(304) 599-5607 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2022, Jul 16, 2021, Jan 11, 2021 and 3 more (6 updates tracked since 2016).

About Amy C Simsa Pa NPPES

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

AMY C SIMSA PA (NPI 1437241155) is an individual physician assistant in Morgantown, West Virginia, licensed in West Virginia (01544) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1437241155
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY C SIMSACredential: PA
Location Address2000 MON HEALTH MEDICAL PARK DR, SUITE 2300Morgantown, WV 26505
Mailing Address2000 Mon Health Medical Park Dr Ste 2300Morgantown, WV 26505-1134 · (304) 599-8802 · Fax (304) 599-5607
Phone(304) 599-8802
Fax(304) 599-5607
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 29, 2006
Last NPPES UpdateApril 8, 20226 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1437241155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WV · 01544✔ Licensed in NY · 0111121
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2000 MON HEALTH MEDICAL PARK DR, Morgantown, WV 26505
Open in Google Maps ↗

Other Identifiers 2

Other000411871001NY · Bsneny
Medicaid00583748NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Amy C Simsa Pa 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 ID6709896020
PECOS Enrollment IDI20110302000006
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

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.

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.
35 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

LYNETTE DECHRISTOPHER PAC
Physician Assistant
2000 MON HEALTH MEDICAL PARK DR, SUITE 2300
MORGANTOWN, WV 26505
Monongalia County (304) 599-8802
DR. LATOYA N LINTON-FRAZIER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2000 MON HEALTH MEDICAL PARK DR, SUITE 2300
MORGANTOWN, WV 26505
Monongalia County (304) 599-8802
MICHAEL V OKEEFE MD
Internal Medicine (Cardiovascular Disease)
2000 MON HEALTH MEDICAL PARK DR, SUITE 2300
MORGANTOWN, WV 26505
Monongalia County (304) 599-8802

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 Amy Simsa's NPI number?

The NPI number for Amy Simsa is 1437241155. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Amy Simsa located?

Amy Simsa practices at 2000 Mon Health Medical Park Dr Suite 2300, Morgantown, WV 26505. The listed phone number is (304) 599-8802.

What is Amy Simsa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Simsa enrolled in Medicare?

Yes. Amy Simsa 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 Amy Simsa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Amy Simsa 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 Amy Simsa affiliated with any hospitals?

According to CMS data, Amy Simsa is affiliated with Garrett Regional Medical Center and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Amy Simsa was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.