ALGIMANTAS SIMPSON MD
NPI 1619553237
Family Medicine in Gastonia, NC

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
4235 S NEW HOPE RD, GASTONIA, NC 28056(704) 825-4750(704) 825-6985 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Mar 23, 2021 (2 updates tracked since 2021).

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

NPI1619553237
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALGIMANTAS SIMPSONCredential: MD
Location Address4235 S NEW HOPE RDGastonia, NC 28056-8453
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 825-6985
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1619553237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2023-03129
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.
4235 S NEW HOPE RD, Gastonia, NC 28056

Other Names 1

Former Name (1)Algimantas Juscius

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

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.

PECOS PAC ID9234679879
PECOS Enrollment IDI20240910000638
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

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.
25 services19 patients

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician 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.

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.

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.

Nurse Practitioner (Family)
4235 S NEW HOPE RD
GASTONIA, NC 28056
Nurse Practitioner (Family)
4235 S NEW HOPE RD
GASTONIA, NC 28056
Physician Assistant
4235 S NEW HOPE RD
GASTONIA, NC 28056
Family Medicine
4235 S NEW HOPE RD
GASTONIA, NC 28056

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.

What insurance does Algimantas Simpson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare 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.