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PROVIDER PROFILE · NPI 1114230422

Nathan SimsDO

Emergency MedicineColumbia, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 420007
Hospital
CCN 420043
Hospital
CCN 420103
Hospital
CCN 420108
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
210
Unique beneficiaries
—
Total services
211
Distinct HCPCS
4
Medicare payment
$15K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 958 Emergency Medicine providers in SC — bottom quintile (cohort median 413).
PRESCRIBING · PART D · 2024
Total Rx claims
63
Beneficiaries
—
Total drug cost
$499
Distinct drugs
4
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
2
By payment type
Food and Beverage$36
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
PhysicianPatientsVisits
Michael Enright
Diagnostic Radiology · Spartanburg, SC
93161
Kelan Brown
Diagnostic Radiology · Spartanburg, SC
59104
David Pelino
Diagnostic Radiology · Spartanburg, SC
3972
Jason Kelly
Diagnostic Radiology · Spartanburg, SC
3358
PARNES, NEIL2543
KAVANAGH, JOSEPH2548
Ambu-Star, Inc.
Ambulance Service Provider · Gaffney, SC
18176
American Health S, Llc
Clinical Laboratory · Davie, FL
16250
David Rodak
Clinical Cardiac Electrophysiology · Spartanburg, SC
1536
Jay Blankenship
Emergency Medicine · Salt Lake City, UT
1537
Imranullah Shaikh
Hospitalist · Easley, SC
1418
WARREN, LAWRENCE1421
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SPARTANBURG MEDICAL CENTER4981,984
PELHAM MEDICAL CENTER107267
PARNES, NEIL91143
KAVANAGH, JOSEPH71125
William Joyce
Diagnostic Radiology · Spartanburg, SC
6197
NEWMAN, JEFFERY6092
Michael Enright
Diagnostic Radiology · Spartanburg, SC
5989
KURKJIAN, JOSEPH5797
Caroline Daly
Diagnostic Radiology · Grand Rapids, MI
5586
WARREN, LAWRENCE4883
James Haswell
Diagnostic Radiology · Columbia, SC
4386
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
4393
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.