NPIMap

Individual provider Active NPI

Jeff A Simerville, MD

  • Urology Physician
  • Palmer, AK
National Provider Identifier
1871575506
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5652 Issued in AK
Practice address
2490 S Woodworth Loop
Suite 401
Palmer, AK 99645-7405
Phone
(907) 745-9300
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD33418 DC
Urology Physician 208800000X 5652 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop
Suite 401
Palmer, AK 99645-7405

Mailing address

2490 S Woodworth Loop
Ste 401
Palmer, AK 99645-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000312 AK Practitioner - Urology 5991757890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 262-7795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Urology, LLC Urology CurrentSince Jan 1, 2014 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
South Peninsula Hospital, Inc CurrentSince Jun 15, 2015 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Jun 8, 2025 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Jun 8, 2025 Accepting new patients
Inpatient Consultants of Texas, PLLC. Past Accepting new patients
Lucy Webb Hayes National Training School for Deaconsses & Missonaries Past Accepting new patients

Locations

17025 Snowmobile Ln
#1
Eagle River, AK 99577
Phone (907) 689-1270

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

2490 S Woodworth Loop
Ste 401
Palmer, AK 99645
Phone (907) 745-9300

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110
  • Direct secure messaging: jeffrey.simerville.1@14977.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1871575506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "STE 401",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 401",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-745-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERVILLE",
        "first_name": "JEFF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DC",
            "license": "MD33418",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.