TAMARA D SIMPSON MD
NPI 1871502716
Internal Medicine - Pulmonary Disease in San Antonio, TX

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216(210) 257-1400 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara D Simpson Md NPPES

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

TAMARA D SIMPSON MD (NPI 1871502716) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (L9485) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Medical School At Houston (2001).

NPPES Registry Identity

NPI1871502716
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameTAMARA D SIMPSONCredential: MD
Location Address12446 WEST AVE STE 200San Antonio, TX 78216-2530
Mailing Address12446 West Ave Ste 200San Antonio, TX 78216-2530
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2001
Enumeration DateAugust 7, 2006
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
NPI 1871502716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · L9485
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License L9485 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License L9485 (TX)
12446 WEST AVE STE 200, San Antonio, TX 78216

Other Identifiers 3

Medicaid169107303TX
Other8H4106TX · Blue Cross Blue Shield
Other169107304Cshcn

Accepted 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

Tamara D Simpson 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 ID547234130
PECOS Enrollment IDI20040820000112
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
365 services134 patients
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.
23 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
13 services13 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
12 services12 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
12 services12 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 78216 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier17 claims17 services$913.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Hospitalist
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Nurse Practitioner (Acute Care)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Pediatrics (Neonatal-Perinatal Medicine)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216

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 Tamara Simpson's NPI number?

The NPI number for Tamara Simpson is 1871502716. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Tamara Simpson located?

Tamara Simpson practices at 12446 West Ave Ste 200, San Antonio, TX 78216. The listed phone number is (210) 257-1400.

What is Tamara Simpson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tamara Simpson enrolled in Medicare?

Yes. Tamara 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 Tamara Simpson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tamara 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 Tamara Simpson affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Tamara Simpson was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.