ADAM JAMES SIMCOX CRNP
NPI 1699397315
Nurse Practitioner - Family in Pittsburgh, PA

Active since May 15, 2020PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5230 CENTRE AVE, PITTSBURGH, PA 15232(412) 623-2121 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam James Simcox Crnp NPPES

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

ADAM JAMES SIMCOX CRNP (NPI 1699397315) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP021824) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699397315
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameADAM JAMES SIMCOXCredential: CRNP
Location Address5230 CENTRE AVEPittsburgh, PA 15232-1304
Mailing Address409 Clairtonica StPittsburgh, PA 15205-3533
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 15, 2020
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1699397315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP021824
5230 CENTRE AVE, Pittsburgh, PA 15232

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

Adam James Simcox Crnp 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 ID840617601
PECOS Enrollment IDI20200826000153
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 4

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.

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.
114 services43 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.
52 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Practitioner
5230 CENTRE AVE, 613 SCAIFE HALL
PITTSBURGH, PA 15232
Physical Therapist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Pharmacist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Anesthetist, Certified Registered
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Family)
5230 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Physician Assistant
5230 CENTRE AVE
PITTSBURGH, PA 15232

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 Adam Simcox's NPI number?

The NPI number for Adam Simcox is 1699397315. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Adam Simcox located?

Adam Simcox practices at 5230 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 623-2121.

What is Adam Simcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Adam Simcox enrolled in Medicare?

Yes. Adam Simcox 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.

Is Adam Simcox affiliated with any hospitals?

According to CMS data, Adam Simcox is affiliated with Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Adam Simcox was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.