Individual provider

Lerone Simpson, M.D.

Surgical Critical Care Physician Surgery Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Lerone Simpson, M.D. is a Surgical Critical Care Physician in Mcallen, TX, registered under NPI 1386828697. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1801 S 5TH ST SUITE 207, Mcallen, TX 78503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1801 S 5TH ST SUITE 207, Mcallen, TX 78503 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
Q9907 TX Surgical Critical Care Physician primary
Q9907 TX Surgery Physician

This provider holds licence Q9907 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Critical Care (intensivists)
PAC ID
4284922030

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Texas I20161011000365 Practitioner - Critical Care (intensivists)
New York I20200825002328 Practitioner - General Surgery
Missouri I20240329000801 Practitioner - General Surgery
Mississippi I20250223000018 Practitioner - General Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - Critical Care (intensivists). There are 4 separate enrolment records across 4 states (TX, NY, MO, MS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgical Critical Care covers

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 2086S0102X
Allopathic & Osteopathic Physicians Surgery Surgical Critical Care

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0102X Surgical Critical Care Physician Surgical Critical Care Q9907 TX primary
208600000X Surgery Physician Q9907 TX
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1386828697 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 21, 2007
Last updatedJul 20, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1801 S 5TH ST
SUITE 207
Mcallen, TX 78503
(956) 631-0393
Fax (956) 682-4689
Mailing address PO BOX 3046
Malvern, PA 19355
Other identifiers 3637217-01 · Medicaid (TX)
The last update on file is Jul 20, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1386828697 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 8 2 8 6 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 7 2 7 6 9

Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386828697?
NPI 1386828697 is the National Provider Identifier assigned to Lerone Simpson, M.D. in Mcallen, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical Critical Care cover?
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care…
How do I contact Lerone Simpson, M.D.?
The phone number on file with NPPES is (956) 631-0393, last updated Jul 20, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lerone Simpson, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386828697 a valid number?
Yes. 1386828697 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.