What is Stephen Sims's specialty?

Stephen Sims (NPI 1083623136) is a Medicare-billing provider whose primary specialty is Pain Management in Huntsville, TX.

Where does Stephen Sims practice?

Stephen Sims practices in Huntsville, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1083623136.

How much does Medicare pay Stephen Sims?

Stephen Sims (NPI 1083623136) received approximately $611K in total Medicare Part B payments, serving 529 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1083623136

Stephen SimsMD

PRACTICESTEPHEN M. SIMS, MD, PASee all providers at this practice →

Pain ManagementHuntsville, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,698

Unique beneficiaries

—

Total services

39,831

Distinct HCPCS

Medicare payment

$515K

Peer benchmark

Total Medicare services vs. 262 Pain Management providers in TX — top quintile (cohort median 2,239).

PRESCRIBING · PART D · 2024

Total Rx claims

6,217

Beneficiaries

—

Total drug cost

$245K

Distinct drugs

Brand share

51.8%

Top prescribed drugs

Hydrocodone/Acetaminophen2,416 claims

Gabapentin511 claims

Tramadol Hcl448 claims

Oxycodone Hcl/Acetaminophen350 claims

Oxycodone Hcl292 claims

QUALITY · MIPS · 2024

Final MIPS score

92.3

Quality

81.4

Cost

69.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.73%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$2K

Top paying entities

Consulting Fee$2K

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Stephen Sims's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 20 inbound referrers · 43 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WALKER COUNTY HOSPITAL CORPORATION	98	289
HARMON, ROBERT	76	143
Howard Freeman Certified Registered Nurse Anesthetist (CRNA) · Houston, TX	69	134
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	47	168
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	37	144
ASPIRE HOSPITAL, LLC	30	88
Deborah Ancona - Schultz Diagnostic Radiology · Houston, TX	30	78
Anisa Gopalani Interventional Pain Management · Huntsville, TX	24	50
Heather Mccarthy Certified Registered Nurse Anesthetist (CRNA) · Bridgeport, CT	20	35
Linh Dang Neurology · The Woodlands, TX	19	117
Nabeel Khan Internal Medicine · Huntsville, TX	19	111
Paul Kenworthy Urology · Huntsville, TX	16	77

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Howard Freeman Certified Registered Nurse Anesthetist (CRNA) · Houston, TX	144	400
HARMON, ROBERT	139	379
Laboratory Corporation Of America Clinical Laboratory · Houston, TX	105	271
WALKER COUNTY HOSPITAL CORPORATION	98	438
CHCA CONROE LP	50	175
ASPIRE HOSPITAL, LLC	42	121
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	41	151
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	39	135
Anisa Gopalani Interventional Pain Management · Huntsville, TX	30	85
Walter Toronjo Family Practice · Huntsville, TX	22	129
Benjamin Hyman Diagnostic Radiology · Tyler, TX	22	68
Arif Abdullah Cardiology · Conroe, TX	21	68

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history