MICHAEL DAVID SIMSON MD
NPI 1942258215
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
224 ALEXANDER ST, ROCHESTER, NY 14607(585) 922-7770(585) 922-7246 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2021, Nov 19, 2018 (2 updates tracked since 2018).

About Michael David Simson Md NPPES

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

MICHAEL DAVID SIMSON MD (NPI 1942258215) is an individual psychiatry provider in Rochester, New York, licensed in New York (265763) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Harvard Medical School (2000).

NPPES Registry Identity

NPI1942258215
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMICHAEL DAVID SIMSONCredential: MD
Location Address224 ALEXANDER STRochester, NY 14607-4000
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Fax(585) 922-7246
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1942258215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 265763
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
224 ALEXANDER ST, Rochester, NY 14607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael David Simson 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 ID6406821453
PECOS Enrollment IDI20120827000241
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Michael Simson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Ophthalmology
2301 LAC DE VILLE BLVD
Rochester, NY 14618
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
490 RIDGE RD E
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
36 services12 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Nurse Practitioner (Family)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Pharmacist (Pharmacotherapy)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Counselor (Mental Health)
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607

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 Michael Simson's NPI number?

The NPI number for Michael Simson is 1942258215. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Simson located?

Michael Simson practices at 224 Alexander St, Rochester, NY 14607. The listed phone number is (585) 922-7770.

What is Michael Simson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Simson enrolled in Medicare?

Yes. Michael Simson 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.

Which organizations bill Medicare for Michael Simson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Simson reassigns Medicare benefits to 6 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Western New York Medical Practice, P.C. (Rochester, NY), Behavioral Health Network, Inc. (Rochester, NY), Newark Wayne Community Hospital (Newark, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Simson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Simson affiliated with any hospitals?

According to CMS data, Michael Simson is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Simson was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.