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DR. ANDREW WARREN SIMPSON M.D.
NPI 1760400055
Orthopaedic Surgery in Kenansville, NC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
211 DUPLIN STREET, KENANSVILLE, NC 28349(910) 275-0105(910) 275-0106 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2025, Jan 6, 2022 (2 updates tracked since 2022).

About Dr. Andrew Warren Simpson M.d. NPPES

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

DR. ANDREW WARREN SIMPSON M.D. (NPI 1760400055) is an individual orthopaedic surgery provider in Kenansville, North Carolina, licensed in North Carolina (2005-00864) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and is a graduate of Brody School Of Medicine At East Carolina University (2001).

NPPES Registry Identity

NPI1760400055
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANDREW WARREN SIMPSONCredential: M.D.
Location Address211 DUPLIN STREETKenansville, NC 28349
Mailing AddressPo Box 278Kenansville, NC 28349-0278 · (910) 275-0105 · Fax (910) 275-0106
Phone(910) 275-0105
Fax(910) 275-0106
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2001
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1760400055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NC · 2005-00864✔ Licensed in SC · 23728
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
211 DUPLIN STREET, Kenansville, NC 28349
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Other Identifiers 1

Medicaid5903699NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc 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. Andrew Warren 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 ID6406953405
PECOS Enrollment IDI20070529000171
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
80 services15 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.
52 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 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.
36 services28 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
26 services12 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28349 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYREK EVERETH MILLER M.D.
Surgery
211 DUPLIN STREET
KENANSVILLE, NC 28349
Duplin County (910) 275-0027
KEITH A KREITZ MD
Surgery
211 DUPLIN STREET
KENANSVILLE, NC 28349
Duplin County (910) 275-0027

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 Andrew Simpson's NPI number?

The NPI number for Andrew Simpson is 1760400055. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Andrew Simpson located?

Andrew Simpson practices at 211 Duplin Street, Kenansville, NC 28349. The listed phone number is (910) 275-0105.

What is Andrew Simpson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Simpson enrolled in Medicare?

Yes. Andrew 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 Andrew Simpson accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Andrew 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 Andrew Simpson affiliated with any hospitals?

According to CMS data, Andrew Simpson is affiliated with Columbus Regional Healthcare System.

When was this NPI record last updated?

The NPPES record for Andrew Simpson was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.