What is Michelle Sims's specialty?

Michelle Sims (NPI 1720077530) is a Medicare-billing provider whose primary specialty is Ophthalmology in Wheaton, IL.

Where does Michelle Sims practice?

Michelle Sims practices in Wheaton, IL, based on the location reported in the CMS Medicare provider datasets for NPI 1720077530.

How much does Medicare pay Michelle Sims?

Michelle Sims (NPI 1720077530) received approximately $215K in total Medicare Part B payments, serving 769 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1720077530

Michelle SimsMD

PRACTICEWHEATON EYE CLINIC LTDSee all providers at this practice →

OphthalmologyWheaton, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,231

Unique beneficiaries

—

Total services

1,509

Distinct HCPCS

Medicare payment

$208K

Peer benchmark

Total Medicare services vs. 667 Ophthalmology providers in IL — below median (cohort median 2,192).

PRESCRIBING · PART D · 2024

Total Rx claims

874

Beneficiaries

—

Total drug cost

$80K

Distinct drugs

Brand share

47.5%

Top prescribed drugs

Prednisolone Acetate365 claims

Moxifloxacin Hcl291 claims

Cyclosporine58 claims

Erythromycin Base45 claims

Cyclosporine31 claims

QUALITY · MIPS · 2024

Final MIPS score

95.6

Quality

88.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.87%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Consulting Fee$1K

Food and Beverage$172

Top paying entities

Consulting Fee$1K

Food and Beverage$172

REFERRAL NETWORK

Where Michelle 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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CENTRAL DUPAGE HOSPITAL ASSOCIATION	60	93
EDWARD HOSPITAL	55	82
Gassan Mohama Anesthesiology · Chicago, IL	52	82
Helene Pardo-Isaac Anesthesiology · Chicago, IL	30	41

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