HOLLY CLARE SIMPSON M.D.
NPI 1437310331
Ophthalmology in West Chester, PA

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
74.51/100
CMS Quality Rating
795 E MARSHALL ST, STE 103, WEST CHESTER, PA 19380(610) 429-3004 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2016, Feb 16, 2016 (2 updates tracked since 2016).

About Holly Clare Simpson M.d. NPPES

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

HOLLY CLARE SIMPSON M.D. (NPI 1437310331) is an individual ophthalmology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD454053) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1437310331
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHOLLY CLARE SIMPSONCredential: M.D.
Location Address795 E MARSHALL ST, STE 103West Chester, PA 19380-4400
Mailing Address795 E Marshall St, Ste 103West Chester, PA 19380-4400 · (610) 429-3004
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008
Enumeration DateJune 23, 2008
Last NPPES UpdateMarch 17, 20162 updates tracked since enumeration
NPI 1437310331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD454053
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
795 E MARSHALL ST, West Chester, PA 19380

Accepted 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

Holly Clare 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 ID9830354562
PECOS Enrollment IDI20150417001509
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
579 services523 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
369 services287 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
333 services323 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
130 services130 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
86 services79 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
65 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

74.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost15.05

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.

Dentist (Pediatric Dentistry)
795 E MARSHALL ST, STE 100
WEST CHESTER, PA 19380
Internal Medicine (Rheumatology)
795 E MARSHALL ST, SUITE 101
WEST CHESTER, PA 19380
Physical Therapist
795 E MARSHALL ST, SUITE 204
WEST CHESTER, PA 19380
Dentist (Endodontics)
795 E MARSHALL ST, SUITE 202
WEST CHESTER, PA 19380
Hospice Care, Community Based
795 E MARSHALL ST, SUITE 204
WEST CHESTER, PA 19380
Internal Medicine (Endocrinology, Diabetes & Metabolism)
795 E MARSHALL ST, SUITE G2
WEST CHESTER, PA 19380
Internal Medicine (Rheumatology)
795 E MARSHALL ST, SUITE 101
WEST CHESTER, PA 19380
Internal Medicine (Endocrinology, Diabetes & Metabolism)
795 E MARSHALL ST, SUITE G2
WEST CHESTER, PA 19380

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 Holly Simpson's NPI number?

The NPI number for Holly Simpson is 1437310331. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Holly Simpson located?

Holly Simpson practices at 795 E Marshall St Ste 103, West Chester, PA 19380. The listed phone number is (610) 429-3004.

What is Holly Simpson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Holly Simpson enrolled in Medicare?

Yes. Holly 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 Holly Simpson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Holly 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 Holly Simpson was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.