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MR. DUSTIN MICHAEL SIMPSON I FNP
NPI 1851075071
Nurse Practitioner - Family in Middlesboro, KY

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment
473 N 12TH ST, MIDDLESBORO, KY 40965(606) 302-5116(606) 302-5117 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dustin Michael Simpson I Fnp NPPES

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

MR. DUSTIN MICHAEL SIMPSON I FNP (NPI 1851075071) is an individual family provider in Middlesboro, Kentucky, licensed in Tennessee (34079) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851075071
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DUSTIN MICHAEL SIMPSON ICredential: FNP
Location Address473 N 12TH STMiddlesboro, KY 40965-1133
Mailing Address936 Iron Works RdHarrogate, TN 37752 · (865) 279-1671
Phone(606) 302-5116
Fax(606) 302-5117
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2023
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1851075071 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 TN · 34079
473 N 12TH ST, Middlesboro, KY 40965
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mr. Dustin Michael Simpson I Fnp 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 ID9234576497
PECOS Enrollment IDI20240322003133, I20241109000426
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

ELIZABETH S. LUCAS D.O.
Family Medicine
473 N 12TH ST
MIDDLESBORO, KY 40965
Bell County (606) 302-5116
HARLIE BURNETT FNP
Nurse Practitioner (Family)
473 N 12TH ST
MIDDLESBORO, KY 40965
Bell County (606) 302-5116
LUCAS FAMILY MEDICINE PLLC
Clinic/Center (Rural Health)
473 N 12TH ST
MIDDLESBORO, KY 40965
Bell County (606) 302-5116
LUCAS FAMILY MEDICINE PLLC
Family Medicine
473 N 12TH ST
MIDDLESBORO, KY 40965
Bell County (423) 444-3368

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 Dustin Simpson's NPI number?

The NPI number for Dustin Simpson is 1851075071. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Dustin Simpson located?

Dustin Simpson practices at 473 N 12th St, Middlesboro, KY 40965. The listed phone number is (606) 302-5116.

What is Dustin Simpson's specialty?

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

Is Dustin Simpson enrolled in Medicare?

Yes. Dustin 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 Dustin Simpson accept?

Health plans from Oscar Insurance Company list Dustin 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.

When was this NPI record last updated?

The NPPES record for Dustin Simpson was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.