ALGIMANTAS SIMPSON MD
NPI 1619553237
Family Medicine in Gastonia, NC
About Algimantas Simpson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALGIMANTAS SIMPSON MD (NPI 1619553237) is an individual family medicine provider in Gastonia, North Carolina, licensed in North Carolina (2023-03129) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Algimantas Simpson 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.
Medicare Billing Reassignment
Medicare enrollment records show Algimantas Simpson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gastonia, NC 28056
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Algimantas Simpson's NPI number?
The NPI number for Algimantas Simpson is 1619553237. It was assigned to this individual provider in the NPPES registry on March 23, 2021. The provider is also known as Algimantas Juscius.
Where is Algimantas Simpson located?
Algimantas Simpson practices at 4235 S New Hope Rd, Gastonia, NC 28056. The listed phone number is (704) 825-4750.
What is Algimantas Simpson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Algimantas Simpson enrolled in Medicare?
Yes. Algimantas 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.
Which organization bills Medicare for Algimantas Simpson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Algimantas Simpson reassigns Medicare benefits to Caromont Medical Group Inc (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Algimantas Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Algimantas Simpson accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Algimantas 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 Algimantas Simpson affiliated with any hospitals?
According to CMS data, Algimantas Simpson is affiliated with Caromont Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Algimantas Simpson was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Algimantas Simpson, MD · NPI 1619553237
Family Medicine physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1619553237 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2023-03129 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4235 S NEW HOPE RD, Gastonia, NC 28056-8453
- **Phone:** (704) 825-4750 · **Fax:** (704) 825-6985
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Caromont Medical Group Inc (NPI 1952580557, Gastonia, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619553237) · Data from the CMS NPPES public registry.