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DR. ERIK J SIMCHUK MD
NPI 1831158799
Surgery in Chico, CA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.66/100
CMS Quality Rating
251 COHASSET RD, STE 310, CHICO, CA 95926(530) 891-1651(530) 891-1644 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erik J Simchuk Md NPPES

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

DR. ERIK J SIMCHUK MD (NPI 1831158799) is an individual surgery provider in Chico, California, licensed in California (A100912) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1831158799
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ERIK J SIMCHUKCredential: MD
Location Address251 COHASSET RD, STE 310Chico, CA 95926-2241
Mailing Address251 Cohasset Rd, Ste 310Chico, CA 95926-2241 · (530) 891-1651 · Fax (530) 891-1644
Phone(530) 891-1651
Fax(530) 891-1644
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1831158799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A100912
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
251 COHASSET RD, Chico, CA 95926
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified447888CO
Medicare UPINH51625CA
Medicaid01329316CO

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. Erik J Simchuk Md 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 ID6800976424
PECOS Enrollment IDI20080108000496
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 10

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.
116 services91 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services38 patients
Repair of abdomen using abdominal lining graft 49905
This procedure involves repairing a damaged part of your abdomen with a graft, or patch, made from your own abdominal lining. It aims to strengthen the area and promote healing. Rest assured, it's performed by skilled surgeons.
28 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services26 patients
Partial removal of stomach for weight loss using an endoscope 43775
This procedure involves the use of an endoscope, a thin tube with a camera, to partially remove the stomach. It aids in weight loss by reducing the stomach's size, limiting food intake. It's a less invasive alternative to traditional weight loss surgeries.
25 services25 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95926 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

76.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.21
Promoting Interoperability100
Improvement Activities40
Cost56.9

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
23%303 patients2/55-star benchmark: 85%
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…
13%849 patients1/55-star benchmark: 97%
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.

STEPHEN A VANNUCCI MD INC
Dermatology
251 COHASSET RD, SUITE 230
CHICO, CA 95926
Butte County (530) 342-3686
NORTH STATE RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
251 COHASSET RD, SUITE # 150
CHICO, CA 95926
Butte County (530) 898-0504
MS. BETH S. FALTIN R.D.
Dietitian, Registered
251 COHASSET RD, SUITE 310
CHICO, CA 95926
Butte County (530) 891-1651
KAFELE T HODARI MD INC
Dermatology
251 COHASSET RD, SUITE 240
CHICO, CA 95926
Butte County (530) 342-3686
SHAHEEN RASHEED MD INC
Internal Medicine (Gastroenterology)
251 COHASSET RD, SUITE 300
CHICO, CA 95926
Butte County (530) 894-8800
STEPHEN ANTHONY VANNUCCI MD
Dermatology (Dermatopathology)
251 COHASSET RD, SUITE 230
CHICO, CA 95926
Butte County (530) 342-3686
DR. THOMAS VERNON SIMMONS PHARM. D.
Pharmacist
251 COHASSET RD, SUITE 145
CHICO, CA 95926
Butte County (530) 332-3825
NORTHSTATE PLASTIC SURGERY ASSOCIATES INC
Surgery (Plastic and Reconstructive Surgery)
251 COHASSET RD, SUITE 340
CHICO, CA 95926
Butte County (530) 345-5900

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 Erik Simchuk's NPI number?

The NPI number for Erik Simchuk is 1831158799. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Erik Simchuk located?

Erik Simchuk practices at 251 Cohasset Rd Ste 310, Chico, CA 95926. The listed phone number is (530) 891-1651.

What is Erik Simchuk's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erik Simchuk enrolled in Medicare?

Yes. Erik Simchuk 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.

When was this NPI record last updated?

The NPPES record for Erik Simchuk was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.