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MATTHEW JAMES SIMPSON M.D.
NPI 1578839908
Family Medicine in Asheville, NC

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 257-4730(828) 232-2942 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew James Simpson M.d. NPPES

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

MATTHEW JAMES SIMPSON M.D. (NPI 1578839908) is an individual family medicine provider in Asheville, North Carolina, licensed in North Carolina (2021-03194) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Michigan Medical School (2012).

NPPES Registry Identity

NPI1578839908
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW JAMES SIMPSONCredential: M.D.
Location Address123 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868 · (828) 257-4730
Phone(828) 257-4730
Fax(828) 232-2942
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1578839908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2021-03194✔ Licensed in CO · 52854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
123 HENDERSONVILLE RD, Asheville, NC 28803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Matthew James 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 ID6406096973
PECOS Enrollment IDI20160913002613, I20211216001403
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.

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.48 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,104 services$0.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEXANDER STEFAN GOGGINS
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3545
ALAN SOL BAUMGARTEN MD
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
JULIE M BASS RANSOM PA-C
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
VALERIE LYN KRALL LCMHC
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ELLIE SEAN HARTYE PA
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3500
GABRIELA DIAZ MCGINN LCMHCA, LCASA
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ANDREA MARIA HODAPP MD
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 407-2415
DR. JESSICA ANN KNAPP DO
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730

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 Matthew Simpson's NPI number?

The NPI number for Matthew Simpson is 1578839908. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Matthew Simpson located?

Matthew Simpson practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 257-4730.

What is Matthew Simpson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Simpson enrolled in Medicare?

Yes. Matthew 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 Matthew Simpson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Matthew 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.

Is Matthew Simpson affiliated with any hospitals?

According to CMS data, Matthew Simpson is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Matthew Simpson was last updated on December 2, 2021. 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.