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STEVEN JAMES SIMERVILLE MD
NPI 1497712921
Pediatrics in Pueblo West, CO

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
109 S BURLINGTON DR, PUEBLO WEST, CO 81007(719) 595-6020(933) 373-1043 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven James Simerville Md NPPES

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

STEVEN JAMES SIMERVILLE MD (NPI 1497712921) is an individual pediatrics provider in Pueblo West, Colorado, licensed in Colorado (DR.0044566) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1998).

NPPES Registry Identity

NPI1497712921
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEVEN JAMES SIMERVILLECredential: MD
Location Address109 S BURLINGTON DRPueblo West, CO 81007-5560
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-2200 · Fax (833) 373-1073
Phone(719) 595-6020
Fax(933) 373-1043
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1998
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1497712921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · DR.0044566
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0044566 (CO)
109 S BURLINGTON DR, Pueblo West, CO 81007
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Steven James Simerville Md 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 ID7012955354
PECOS Enrollment IDI20060613000326
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 7

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.
290 services131 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.
115 services74 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.
47 services47 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services14 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services14 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81007 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. SCOTT ALAN DERUITER M.D.
Family Medicine
109 S BURLINGTON DR
PUEBLO, CO 81007
Pueblo County (719) 553-2205
HANSON CLINIC PC
Orthopaedic Surgery
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 766-9000
NATALIE D FISHER NP
Nurse Practitioner (Primary Care)
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 553-2205
BRETT ALLEN SLOAN OTC
Specialist/Technologist, Other
109 S BURLINGTON DR
PUEBLO, CO 81007
Pueblo County (719) 766-9000
SOUTHERN COLORADO CLINIC PC
Clinic/Center
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 553-2205
HANSON CLINIC PC
Specialist
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 766-9000

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 Steven Simerville's NPI number?

The NPI number for Steven Simerville is 1497712921. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Steven Simerville located?

Steven Simerville practices at 109 S Burlington Dr, Pueblo West, CO 81007. The listed phone number is (719) 595-6020.

What is Steven Simerville's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Steven Simerville enrolled in Medicare?

Yes. Steven Simerville 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.

When was this NPI record last updated?

The NPPES record for Steven Simerville was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.