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DR. JEAN LUC SIME FOTSO M.D
NPI 1770895542
Hospitalist in Houston, TX

Active since July 09, 2010PECOS EnrolledAccepts Medicare Assignment
18220 TX-249, HOUSTON, TX 77070(281) 737-1000 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jean Luc Sime Fotso M.d NPPES

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

DR. JEAN LUC SIME FOTSO M.D (NPI 1770895542) is an individual hospitalist provider in Houston, Texas, licensed in Texas (P8130) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770895542
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JEAN LUC SIME FOTSOCredential: M.D
Location Address18220 TX-249Houston, TX 77070
Mailing Address3022 Cumberland Brook LnKaty, TX 77494-4066 · (248) 212-4813
Phone(281) 737-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 9, 2010
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1770895542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · P8130
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
18220 TX-249, Houston, TX 77070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice 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. Jean Luc Sime Fotso 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 ID4789819442
PECOS Enrollment IDI20140117001481
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 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.
255 services144 patients
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.
239 services122 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
175 services160 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%71 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 15

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

NATIELLE FRANCA LOHMAN
Pharmacist
18220 TX-249
HOUSTON, TX 77070
Harris County (281) 737-1000
IFEOMA ANNE ABIANDU PHARMD
Pharmacist
18220 TX-249
HOUSTON, TX 77070
Harris County (281) 737-1000
DR. YUN LI M.D.
Internal Medicine
18220 TX-249
HOUSTON, TX 77070
Harris County (281) 737-1000
ERIKA NICOLE BROWN
Pharmacist (Oncology)
18220 TX-249, PHARMACY DEPARTMENT
HOUSTON, TX 77070
Harris County (281) 737-0461
MEREDITH PAIGE HENRY WEBSTER
Nurse Practitioner (Family)
18220 TX-249, SUITE 475
HOUSTON, TX 77070
Harris County (832) 698-5520
NICOLE ALILAEN
Pharmacist (Infectious Diseases)
18220 TX-249
HOUSTON, TX 77070
Harris County (210) 421-9780
MS. TANA LEIGH ELLIOTT RN
Registered Nurse (Emergency)
18220 TX-249
HOUSTON, TX 77070
Harris County (281) 414-8867
MUSTAFA MEHMOOD
Internal Medicine (Critical Care Medicine)
18220 TX-249
HOUSTON, TX 77070
Harris County (281) 737-1000

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 Jean Luc Sime Fotso's NPI number?

The NPI number for Jean Luc Sime Fotso is 1770895542. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Jean Luc Sime Fotso located?

Jean Luc Sime Fotso practices at 18220 Tx-249, Houston, TX 77070. The listed phone number is (281) 737-1000.

What is Jean Luc Sime Fotso's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jean Luc Sime Fotso enrolled in Medicare?

Yes. Jean Luc Sime Fotso 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 Jean Luc Sime Fotso accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Jean Luc Sime Fotso 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 Jean Luc Sime Fotso affiliated with any hospitals?

According to CMS data, Jean Luc Sime Fotso is affiliated with Hendrick Medical Center and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Jean Luc Sime Fotso was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.