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DR. SIMONA MARIANA SCUMPIA M.D.
NPI 1689778946
Internal Medicine - Endocrinology, Diabetes & Metabolism in Austin, TX

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2200 PARK BEND DR, BLDG 3-300, AUSTIN, TX 78758(512) 873-7377(512) 873-7576 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Simona Mariana Scumpia M.d. NPPES

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

DR. SIMONA MARIANA SCUMPIA M.D. (NPI 1689778946) is an individual endocrinology, diabetes & metabolism provider in Austin, Texas, licensed in Texas (H3521) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1689778946
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SIMONA MARIANA SCUMPIACredential: M.D.
Location Address2200 PARK BEND DR, BLDG 3-300Austin, TX 78758-5387
Mailing Address2200 Park Bend Dr, Bldg 3-300Austin, TX 78758-5387 · (512) 873-7377 · Fax (512) 873-7576
Phone(512) 873-7377
Fax(512) 873-7576
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 8, 2006
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1689778946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · H3521
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2200 PARK BEND DR, Austin, TX 78758
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Other Names 1

Professional Name (2)Dr. Simone Scumpia M.d.

Other Identifiers 3

Medicare UPIND87483TX
Other8X7500TX · Bcbs
Medicare PIN8834N0TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and more.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

Dr. Simona Mariana Scumpia 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 ID7517906928
PECOS Enrollment IDI20090504000567
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 13

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.
1,523 services653 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
316 services289 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
316 services315 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
148 services148 patients
Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk 77089
Trabecular Bone Score (TBS) is a technique that uses imaging data to evaluate bone texture. It provides insight into bone strength, helping predict fracture risk. This information is then compiled into a report to aid in your bone health management.
106 services106 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
104 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%18,953 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
67%19,383 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%1,789 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%670 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%5,308 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
11%4,190 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%5,376 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%5,376 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers56 claims714 services$18.38 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers55 claims1,697 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims16 services$176.58 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers71 claims274 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers22 claims39 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers44 claims44 services$296.46 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.

DR. RAJAL DHRUVISH SHAH M.D.
Internal Medicine
2200 PARK BEND DR, SUITE 300
AUSTIN, TX 78758
Travis County (512) 836-5665
DR. TRAVIS R BENZING MD
Internal Medicine
2200 PARK BEND DR
AUSTIN, TX 78758
Travis County (855) 481-8375
DR. ROBERT J. WOZNIAK MD
Internal Medicine (Interventional Cardiology)
2200 PARK BEND DR, BLDG. 2 STE. 300
AUSTIN, TX 78758
Travis County (512) 617-6000
NEVA M. SCHMELZER
Nurse Practitioner (Family)
2200 PARK BEND DR, BLDG 1 SUITE 401
AUSTIN, TX 78758
Travis County (512) 807-3160
THOMAS S LOFTUS MD PA
Neurological Surgery
2200 PARK BEND DR, BLDG. 2, STE. 202
AUSTIN, TX 78758
Travis County (512) 836-0900
AUSTIN FERTILITY INSTITUTE, PA
Obstetrics & Gynecology (Reproductive Endocrinology)
2200 PARK BEND DR, BLDG. 2 - SUITE 204
AUSTIN, TX 78758
Travis County (512) 339-4234
RICHARD STOVALL MD PA
Neurological Surgery
2200 PARK BEND DR, BLDG 2, STE 201
AUSTIN, TX 78758
Travis County (512) 835-8100
RICHARD B STOVALL M.D.
Neurological Surgery
2200 PARK BEND DR, BLDG 2 STE 201
AUSTIN, TX 78758
Travis County (512) 835-8100

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 Simona Scumpia's NPI number?

The NPI number for Simona Scumpia is 1689778946. It was assigned to this individual provider in the NPPES registry on September 8, 2006. The provider is also known as Dr. Simone Scumpia M.D..

Where is Simona Scumpia located?

Simona Scumpia practices at 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758. The listed phone number is (512) 873-7377.

What is Simona Scumpia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Simona Scumpia enrolled in Medicare?

Yes. Simona Scumpia 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 Simona Scumpia accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Simona Scumpia 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.

When was this NPI record last updated?

The NPPES record for Simona Scumpia was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.