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DR. STEPHEN M SIMONS MD
NPI 1881776359
Family Medicine - Sports Medicine in Mishawaka, IN

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
611 E. DOUGLAS ROAD, STE 137, MISHAWAKA, IN 46545(574) 335-6214(574) 335-6215 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2016, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Stephen M Simons Md NPPES

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

DR. STEPHEN M SIMONS MD (NPI 1881776359) is an individual sports medicine provider in Mishawaka, Indiana, licensed in Indiana (01034571) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1985).

NPPES Registry Identity

NPI1881776359
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. STEPHEN M SIMONSCredential: MD
Location Address611 E. DOUGLAS ROAD, STE 137Mishawaka, IN 46545
Mailing Address707 E Cedar St, Ste 200South Bend, IN 46617-2057 · (574) 335-6214 · Fax (574) 335-6215
Phone(574) 335-6214
Fax(574) 335-6215
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1985
Enumeration DateOctober 20, 2006
Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration
✔ NPI 1881776359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 01034571
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
611 E. DOUGLAS ROAD, Mishawaka, IN 46545
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Other Identifiers 3

Medicaid200002120IN
Medicare PIN738460QQQIN
Medicare UPINE06637IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Stephen M Simons 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 ID5799974184
PECOS Enrollment IDI20110118000091
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 2

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.
60 services11 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 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Stephen Simons's NPI number?

The NPI number for Stephen Simons is 1881776359. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Stephen Simons located?

Stephen Simons practices at 611 E. Douglas Road Ste 137, Mishawaka, IN 46545. The listed phone number is (574) 335-6214.

What is Stephen Simons's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Stephen Simons enrolled in Medicare?

Yes. Stephen Simons 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 Stephen Simons accept?

Health plans from CareSource list Stephen Simons 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 Stephen Simons affiliated with any hospitals?

According to CMS data, Stephen Simons is affiliated with Saint Joseph Regional Medical Center and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Stephen Simons was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.