PROVIDER PROFILE · NPI 1538202627

Terran SimsN.P.

Nurse PractitionerCharlottesville, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

431

Unique beneficiaries

—

Total services

452

Distinct HCPCS

Medicare payment

$18K

Peer benchmark

Total Medicare services vs. 5,426 Nurse Practitioner providers in VA — above median (cohort median 281).

PRESCRIBING · PART D · 2024

Total Rx claims

580

Beneficiaries

—

Total drug cost

$22K

Distinct drugs

Brand share

18.4%

Top prescribed drugs

Tamsulosin Hcl186 claims

Finasteride183 claims

Alfuzosin Hcl36 claims

Methenamine Hippurate35 claims

Oxybutynin Chloride29 claims

QUALITY · MIPS · 2024

Final MIPS score

86.5

Quality

79.8

Cost

75.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.48%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Travel and Lodging$976

Food and Beverage$347

Top paying entities

Travel and Lodging$976

Food and Beverage$347

REFERRAL NETWORK

Where Terran 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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Arun Krishnaraj Diagnostic Radiology · Charlottesville, VA	34	114
LIPPERT, MARGUERITE	28	75
Juan Olazagasti Diagnostic Radiology · Charlottesville, VA	27	78
Michael Hanley Diagnostic Radiology · Charlottesville, VA	23	62
Edward Stelow Pathology · Charlottesville, VA	19	40
Lucia Flors Blasco Diagnostic Radiology · Los Angeles, CA	19	55
Gia Deangelis Diagnostic Radiology · Charlottesville, VA	18	60
SEFCZEK, ROBERT	15	32
AUGUSTA HEALTH CARE, INC	14	54
Drew Lambert Diagnostic Radiology · Charlottesville, VA	14	38
Rachita Khot Diagnostic Radiology · Charlottesville, VA	13	25
STOLER, MARK	13	30

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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