DUSTIN T SIMCOE – Physician Assistant, NPI 1295108942
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for DUSTIN T SIMCOE
51 Mapleview Rd
Wallingford, CT 06492
Phone: (765) 620-2764
Type: Location
401 NEWPORTE BLVD
LA PORTE, IN 463504099
Phone: (219) 575-6244
Fax: (219) 380-0757
Type: Location
809 LaPorte Ave Ste B
Valparaiso, IN 463835801
Phone: (219) 263-4977
Fax: (219) 263-4979
Type: Location
650 Dickinson Rd
Chesterton, IN 463043387
Phone: (219) 926-7755
Fax: (219) 929-1885
Type: Location
3630 Willowcreek Rd
Portage, IN 463685075
Phone: (219) 364-3900
Fax: (219) 364-3959
Type: Location
2022 KELLE DR
CHESTERTON, IN 463048708
Phone: (219) 364-4004
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Mylan Specialty L.P. ($93).
Total Amount
$383
General + Research + Ownership
Payments
18
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160216000226 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 389 | 333 | $0 |
| 81002 | Urinalysis, manual test | 79 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 55 | 55 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 54 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 39 | $0 |
Insurance plans in this area (ZIP 06492)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IN | |
| O P H T H A L M O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Interventional Cardiology | TX | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IL |
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