Stephen Simons, MD
NPI 1881776359 · Sports Medicine (Family Medicine) Physician · Mishawaka, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Simons, MD is a Sports Medicine (Family Medicine) Physician provider in Mishawaka, IN (NPI 1881776359).
Provider details
- NPI number
- 1881776359
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01034571 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
36 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $84 |
Typical Medicare-allowed amounts for these services range $84–$84 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2016-09-14
Frequently asked questions
- What is Stephen Simons's NPI number?
- Stephen Simons's National Provider Identifier (NPI) is 1881776359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Simons's specialty?
- Stephen Simons is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Simons located?
- Stephen Simons's practice location on file with NPPES is 611 E. Douglas Road, Mishawaka, IN 46545.
- What is Stephen Simons's phone number?
- The practice phone number listed in the NPPES registry for Stephen Simons is (574) 335-6214.
- Does Stephen Simons accept Medicare?
- Stephen Simons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Simons's NPI active?
- Yes — Stephen Simons's NPI (1881776359) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.