What is Nathan Sims's specialty?

Nathan Sims (NPI 1114230422) is a Medicare-billing provider whose primary specialty is Emergency Medicine in Columbia, SC.

Where does Nathan Sims practice?

Nathan Sims practices in Columbia, SC, based on the location reported in the CMS Medicare provider datasets for NPI 1114230422.

How much does Medicare pay Nathan Sims?

Nathan Sims (NPI 1114230422) received approximately $17K in total Medicare Part B payments, serving 190 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1114230422

Nathan SimsDO

Emergency MedicineColumbia, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

210

Unique beneficiaries

—

Total services

211

Distinct HCPCS

Medicare payment

$15K

Peer benchmark

Total Medicare services vs. 958 Emergency Medicine providers in SC — bottom quintile (cohort median 413).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$499

Distinct drugs

Brand share

61.9%

Top prescribed drugs

Hydrocodone/Acetaminophen22 claims

Ondansetron17 claims

Oxycodone Hcl13 claims

Methocarbamol11 claims

QUALITY · MIPS · 2024

Final MIPS score

94.7

Quality

89.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.83%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$36

Payment records

By payment type

Food and Beverage$36

Top paying entities

Food and Beverage$36

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Nathan 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). 22 inbound referrers · 123 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Michael Enright Diagnostic Radiology · Spartanburg, SC	93	161
Kelan Brown Diagnostic Radiology · Spartanburg, SC	59	104
David Pelino Diagnostic Radiology · Spartanburg, SC	39	72
Jason Kelly Diagnostic Radiology · Spartanburg, SC	33	58
PARNES, NEIL	25	43
KAVANAGH, JOSEPH	25	48
Ambu-Star, Inc. Ambulance Service Provider · Gaffney, SC	18	176
American Health S, Llc Clinical Laboratory · Davie, FL	16	250
David Rodak Clinical Cardiac Electrophysiology · Spartanburg, SC	15	36
Jay Blankenship Emergency Medicine · Salt Lake City, UT	15	37
Imranullah Shaikh Hospitalist · Easley, SC	14	18
WARREN, LAWRENCE	14	21

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SPARTANBURG MEDICAL CENTER	498	1,984
PELHAM MEDICAL CENTER	107	267
PARNES, NEIL	91	143
KAVANAGH, JOSEPH	71	125
William Joyce Diagnostic Radiology · Spartanburg, SC	61	97
NEWMAN, JEFFERY	60	92
Michael Enright Diagnostic Radiology · Spartanburg, SC	59	89
KURKJIAN, JOSEPH	57	97
Caroline Daly Diagnostic Radiology · Grand Rapids, MI	55	86
WARREN, LAWRENCE	48	83
James Haswell Diagnostic Radiology · Columbia, SC	43	86
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	43	93

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events