Dr. Stephen M. Simons
- Gender: Male
- Experience: 36 years
- Graduated from: Southern Illinois University School Of Medicine
- Graduation year: 1985
- Sole propriator: No
- NPI: 1881776359
Dr. Stephen M. Simons MD
Sports Medicine Specialist
He is located at 611 East Douglas Road Ste 137 in Mishawaka, IN 46545. Can help patients with the following: Baker's Cyst, Dislocated Shoulder, Head Injury, Metatarsal Surgery, Muscle Cramps, Stress Fracture. His National Provider Identifier (NPI) number is 1881776359. Appointment can be made via the phone number (574) 335-6214. He also has a website where you can get more information. The website can be found at https://www.sjmed.com/sports-medicine. He is affiliated with 1 practices and 1 hospitals.
Conditions treated
Dr. Stephen M. Simons, being an sports medicine specialist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Stephen M. Simons.
- ACL Tear
- Arthritis
- Baker's Cyst
- Carpal Tunnel Syndrome
- Dislocated Ankle
- Dislocated Shoulder
- Exercise-Induced Asthma
- Golfer's Elbow
- Growth Plate Fractures and Injuries
- Hamstring Injury
- Head Injury
- Hip Bursitis
- Joint Fluid Extraction
- Knee Bursitis
- Metatarsal Surgery
- Muscle Cramps
- Muscle Spasms
- Separated Shoulder
- Shin Splints
- Sprain
- Stress Fracture
- Turf Toe
- Wrist Surgery
Procedures Performed by Dr. Stephen M. Simons
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Stephen M. Simons as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 15 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Essential 6500 HSA (+ Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Catastrophic Essential (+ Incentives) | HMO · Catastrophic | Participating | Accepting new patients |
| Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Essential 3500 HSA (+ Incentives) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
CareSource
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 22 plans from CareSource
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze 7500 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| HDHP Preventive Silver 5500 $0 Chronic Care Drugs | HMO · Silver | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| HSA Eligible Bronze 6000 | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Platinum Zero $5 Generic Drugs | HMO · Platinum | Preferred | Accepting new patients |
| Platinum Zero $5 Generic Drugs + Adult Vision & Fitness | HMO · Platinum | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Stephen M. Simons is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Stephen M. Simons is enrolled to bill Medicare as a Practitioner - Family Practice (also registered under: Practitioner - Sports Medicine) .
Bills through: Saint Joseph Regional Medical Center- Plymouth Campus Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Tenex Health | $69 |
Other
| Food and Beverage | $70 |
Studies
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated in 1985Other ways to reach out
- Website: https://www.sjmed.com/sports-medicine
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Questions & Answers
What conditions does Dr. Stephen M. Simons treat?
Dr. Stephen M. Simons provides treatment for Baker's Cyst, Dislocated Shoulder, Head Injury, Metatarsal Surgery, Muscle Cramps, Stress Fracture. For the full list see this list.
Where can you meet with Dr. Stephen M. Simons?
Dr. Stephen M. Simons's office is located at 611 East Douglas Road Ste 137 in Mishawaka, IN 46545.
Does Dr. Stephen M. Simons have affiliation with practices?
Dr. Stephen M. Simons is affiliated with Sports Medicine Institute.
Does Dr. Stephen M. Simons accept patients with Anthem Blue Cross and Blue Shield?
Yes, Dr. Stephen M. Simons is listed in-network for Anthem Blue Cross and Blue Shield through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Has Dr. Stephen M. Simons affiliation with hospitals?
Dr. Stephen M. Simons is affiliated with SAINT JOSEPH REGIONAL MEDICAL CENTER.