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DR. CRISTINA P SIMPSON M.D.
NPI 1710989983
Obstetrics & Gynecology in San Antonio, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
414 NAVARRO ST, STE 1200, SAN ANTONIO, TX 78205(210) 226-5420(210) 222-9443 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Cristina P Simpson M.d. NPPES

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

DR. CRISTINA P SIMPSON M.D. (NPI 1710989983) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (K2800) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1710989983
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CRISTINA P SIMPSONCredential: M.D.
Location Address414 NAVARRO ST, STE 1200San Antonio, TX 78205-2501
Mailing Address525 Oak Centre Dr, Ste 300San Antonio, TX 78258-3916 · (210) 226-5420 · Fax (210) 222-9443
Phone(210) 226-5420
Fax(210) 222-9443
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 22, 2016
✔ NPI 1710989983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K2800
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
414 NAVARRO ST, San Antonio, TX 78205
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Other Identifiers 3

Medicare OSCAR/certification8473K0TX
Medicare UPINH17472TX
Medicaid043169401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Cristina P Simpson 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 ID7315118700
PECOS Enrollment IDI20110915000023
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Cristina Simpson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Ob-Gyn Of Texas LLC
7.7 mi
Obstetrics & Gynecology
4458 MEDICAL DR STE 450
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1225807530 (210) 440-4149
Lone Star Ob/Gyn Associates, P.A.
7.9 mi
Obstetrics & Gynecology
7950 FLOYD CURL DR, SUITE 300 & 400
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1063441921 (210) 615-6505
Obhg Texas Holdings, P.A.
83 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Unified Women's Healthcare Of Texas PLLC
263 mi
Obstetrics & Gynecology
15303 DALLAS PKWY STE 650
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
  • 271 clinicians in this Medicare group
NPI 1952703373 (561) 300-2410

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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
42 services42 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services21 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.
23 services19 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Breast Cancer Screening
65%348 patients3/55-star benchmark: 93%
Cervical Cancer Screening
84%1,100 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
37%123 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
98%2,821 patients4/55-star benchmark: 100%
e-Prescribing
99%729 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,114 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,190 patients
0%1,190 patients
Provide Patients Electronic Access to Their Health Information
94%561 patients4/55-star benchmark: 100%
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.

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. ARMANDO EDGARDO QUINONES MD
General Practice
414 NAVARRO ST, SUITE 809
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741
LISA A. DAVIS, M.D., P.A.
Internal Medicine
414 NAVARRO ST, SUITE 1023
SAN ANTONIO, TX 78205
Bexar County (210) 223-3246
AMY L MAVERICK MD
Hospitalist
414 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 579-3036
BRUCE I. LOBAR, M.D., P.A.
Psychiatry & Neurology (Neurology)
414 NAVARRO ST, SUITE 909
SAN ANTONIO, TX 78205
Bexar County (210) 271-0193
DR. JOE R MCFARLANE JR. MD
Ophthalmology
414 NAVARRO ST, SUITE 400
SAN ANTONIO, TX 78205
Bexar County (210) 223-5561
MARK M. CASILLAS, M.D., P.A.
Orthopaedic Surgery
414 NAVARRO ST, SUITE 1616
SAN ANTONIO, TX 78205
Bexar County (210) 224-2655
LIMB SALVAGE CENTERS OF AMERICA INC
Internal Medicine
414 NAVARRO ST, STE 502
SAN ANTONIO, TX 78205
Bexar County (210) 223-1145
MIRHASSAN FARIVAR, MD, PA
Internal Medicine (Cardiovascular Disease)
414 NAVARRO ST, 1033
SAN ANTONIO, TX 78205
Bexar County (210) 587-8888

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 Cristina Simpson's NPI number?

The NPI number for Cristina Simpson is 1710989983. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Cristina Simpson located?

Cristina Simpson practices at 414 Navarro St Ste 1200, San Antonio, TX 78205. The listed phone number is (210) 226-5420.

What is Cristina Simpson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cristina Simpson enrolled in Medicare?

Yes. Cristina 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 organizations bill Medicare for Cristina Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cristina Simpson reassigns Medicare benefits to 4 organizations: Premier Ob-Gyn Of Texas LLC (San Antonio, TX), Lone Star Ob/Gyn Associates, P.A. (San Antonio, TX), Obhg Texas Holdings, P.A. (Austin, TX) and Unified Women's Healthcare Of Texas PLLC (Addison, TX). Each 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 Cristina Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cristina Simpson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Cristina 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 Cristina Simpson affiliated with any hospitals?

According to CMS data, Cristina Simpson is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Cristina Simpson was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.