Stephen M. Simons, MD
Sports Medicine (Family Medicine) Physician · Mishawaka, IN
Stephen M. Simons, MD is a sports medicine (family medicine) physician with a practice address in Mishawaka, Indiana, and NPI 1881776359, issued on Oct 20, 2006. Check the license (Indiana 01034571, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Stephen M. Simons
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License number
- 01034571 IN
Self-reported in NPPES; status is on the state search - Practice location
- 611 E. Douglas Road, Mishawaka, IN 46545
- Phone
- (574) 335-6214
- Enumerated
- Oct 20, 2006
- Record last updated
- Sep 14, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (574) 335-6215
- Medicaid ID
- 200002120 IN
- Medicare enrollment
- Enrolled (PECOS I20110118000091); accepts Medicare assignment
- Medical or professional school
- Southern Illinois University School Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest sports medicine (family medicine) physician records → All 79 in Indiana → Look up another NPI →
Verify Stephen M. Simons in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01034571Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024
35 Medicare Part D claims, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Saint Joseph Regional Medical Center-South Bend Campus IncMishawaka, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stephen M. Simons among 79 sports medicine (family medicine) physician records in Indiana
Stephen M. Simons, MD is one of 79 sports medicine (family medicine) physician records with a practice address in Indiana. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 73% newer
- In a Medicare fileYes · 91% of these records are
- In the CMS Doctors and Clinicians fileYes · 89% of these records are
- Graduated1985 · median 2012 among the 70 with a school on file
- Record last updated2016 · 28% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Family Medicine) Physician providers in Indiana
There are 79 sports medicine (family medicine) physician records in Indiana.
All 79 in Indiana → Every provider in Mishawaka → Sports Medicine (Family Medicine) Physician nationwide →
The 8 sports medicine (family medicine) physician records with the nearest ZIP codes
- David Johnson, DOMishawaka, IN 465451467981464
- Christopher Jordan, MDMishawaka, IN 465451689938664
- Crystal HigginsonNotre Dame, IN 465561821418476
- Edith Cullen, M.D.Elkhart, IN 465141720073521
- Ryan Foreman, MDElkhart, IN 465141679894547
- Jason Hix, MDElkhart, IN 465141023029741
- Jennifer Brake, MDSouth Bend, IN 466011093726713
- Kevin McAward, M.D.South Bend, IN 466011356332977
Common questions
What is Stephen M. Simons, MD's NPI number?
Stephen M. Simons, MD's National Provider Identifier (NPI) is 1881776359, issued on Oct 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Stephen M. Simons, MD located?
The NPPES record lists a practice address at 611 E. Douglas Road, Mishawaka, IN, 46545. Phone: (574) 335-6214. Providers update this record themselves, so call before visiting.
How can I verify Stephen M. Simons, MD's license?
NPPES lists Indiana license number 01034571, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stephen M. Simons, MD prescribe under Medicare Part D?
In 2024, Stephen M. Simons, MD had 35 Medicare Part D claims; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.