2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1043535438 MD
Verify on CMS →

SCOTT SIMPSON, MD

Sports Medicine (Orthopaedic Surgery) Physician in SAINT LOUIS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
343
Medicare Part D claims · 176 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

SCOTT SIMPSON, MD reported a CMS MIPS final score of 79.292/100 — below the 83.1 national average — and filed 343 Medicare Part D claims in 2023.

79.292/100
MIPS score · -4 vs avg
343
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SCOTT SIMPSON, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SCOTT SIMPSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SCOTT SIMPSON, MD?

Near national average

NPI registry status

Active

Issued 03/29/2010

NPI 1043535438

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

343 23% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Missouri providers

Missouri providers

Sports Medicine (Orthopaedic Surgery) Physician share within Missouri

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Missouri

Medicare quality performance — MIPS

SCOTT SIMPSON, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 79.292/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SCOTT SIMPSON, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110, with a listed phone of (314) 514-3500. NPI 1043535438 was issued on 03/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMPSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 343 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 7.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4921 PARKVIEW PL
SAINT LOUIS, MO 63110

Provider Details

NPI 1043535438
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 03/29/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SCOTT SIMPSON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ARNOLD PHYSICAL THERAPY AND SPORTS MEDICINE LLC
SAINT LOUIS, MO
WASHINGTON UNIVERSITY
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

343
Total Claims
$4K
Total Drug Cost
176
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
433
Total Day Supply
10,002
Generic Drug Cost
$4K
Opioid Claims
26 (7.6% rate)

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
0.93
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SCOTT SIMPSON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
167
Meloxicam
58
Methylprednisolone
29
Pregabalin
21
Tramadol Hcl
19
Baclofen
12
Cyclobenzaprine Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sports Medicine (Orthopaedic Surgery) Physician Overview

How SCOTT SIMPSON, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

SCOTT SIMPSON, MD's 343 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as SIMPSON.

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT SIMPSON, MD's specialty?
SCOTT SIMPSON, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does SCOTT SIMPSON, MD prescribe under Medicare Part D?
In 2023, SCOTT SIMPSON, MD wrote 343 Medicare Part D claims totaling $4K in drug costs for 176 beneficiaries.
What is SCOTT SIMPSON, MD's Medicare quality score?
SCOTT SIMPSON, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SCOTT SIMPSON, MD located?
SCOTT SIMPSON, MD is located at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110. Phone: (314) 514-3500.
What is SCOTT SIMPSON, MD's NPI number?
SCOTT SIMPSON, MD's National Provider Identifier (NPI) is 1043535438, issued on 03/29/2010.
Does SCOTT SIMPSON, MD prescribe opioids?
Yes, SCOTT SIMPSON, MD had 26 opioid claims in 2023 with an opioid prescribing rate of 7.6%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does SCOTT SIMPSON, MD prescribe most often?
Based on 2023 Medicare Part D data, SCOTT SIMPSON, MD's most frequently prescribed drugs include Gabapentin, Meloxicam, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT SIMPSON, MD accept Medicare?
SCOTT SIMPSON, MD appears in CMS Medicare data with 343 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT SIMPSON, MD's credentials?
SCOTT SIMPSON, MD's NPI is 1043535438 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology