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MARK A SIMAGA MD
NPI 1598818270
Psychiatry & Neurology - Neurology in Hobart, IN

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
1600 S LAKE PARK AVE, SUITE 1102, HOBART, IN 46342(219) 947-6960(219) 947-6960 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Simaga Md NPPES

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

MARK A SIMAGA MD (NPI 1598818270) is an individual neurology provider in Hobart, Indiana, licensed in Indiana (01046578) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Rush Medical College Of Rush University (1986).

NPPES Registry Identity

NPI1598818270
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMARK A SIMAGACredential: MD
Location Address1600 S LAKE PARK AVE, SUITE 1102Hobart, IN 46342-6641
Mailing Address1600 S. Lake Park Ave, Suite 1102Hobart, IN 46342-6641 · (219) 736-6955 · Fax (219) 736-6080
Phone(219) 947-6960
Fax(219) 947-6960
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1986
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 17, 2012
✔ NPI 1598818270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01046578
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 01046578A (IN)
1600 S LAKE PARK AVE, Hobart, IN 46342
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified497970I
Medicare UPINE48399
Other84104Anthem

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.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

Mark A Simaga 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 ID6901094069
PECOS Enrollment IDI20101216000570
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 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.
453 services241 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
331 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
318 services106 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
60 services25 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.
47 services44 patients

Hospital Affiliations CMS Care Compare 3

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46342 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$24.43 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 5

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

MONROE MEDICAL ASSOCIATES, SC
Internal Medicine (Hematology & Oncology)
1600 S LAKE PARK AVE, SUITE 1101
HOBART, IN 46342
Lake County (219) 947-1795
ADVANCED ENDOCRINOLOGY AND DIABETES CENTER,
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1600 S LAKE PARK AVE, SUITE 1104
HOBART, IN 46342
Lake County (219) 945-0600
JENNIFER LOUISE GREEN NP
Nurse Practitioner (Family)
1600 S LAKE PARK AVE, STE 1103
HOBART, IN 46342
Lake County (219) 947-6448
SPINAL & NEUROSURGICAL INSTITUTE P.C.
Neurological Surgery
1600 S LAKE PARK AVE, STE 1102
HOBART, IN 46342
Lake County (219) 942-6501
BARBARA L FULLER MD
Internal Medicine (Hematology & Oncology)
1600 S LAKE PARK AVE, SUITE1101
HOBART, IN 46342
Lake County (219) 947-1795

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 Mark Simaga's NPI number?

The NPI number for Mark Simaga is 1598818270. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Mark Simaga located?

Mark Simaga practices at 1600 S Lake Park Ave Suite 1102, Hobart, IN 46342. The listed phone number is (219) 947-6960.

What is Mark Simaga's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mark Simaga enrolled in Medicare?

Yes. Mark Simaga 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 Mark Simaga accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Mark Simaga 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 Mark Simaga affiliated with any hospitals?

According to CMS data, Mark Simaga is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Simaga was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.