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PROVIDER PROFILE · NPI 1720191554

William SimsMD

PRACTICEORTHOPEDIC SURGERY AND SPORTSSee all providers at this practice →
Orthopedic SurgeryCoeur D Alene, IDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$45
Payment records
1
By payment type
Food and Beverage$45
QUALITY · MIPS · 2024
Final MIPS score
89.2
Quality
84.3
Cost
79.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.60%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
362
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
7
Brand share
19.9%
Top prescribed drugs
Meloxicam122 claims
Ondansetron55 claims
Tramadol Hcl52 claims
Oxycodone Hcl50 claims
Amoxicillin38 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
850
Unique beneficiaries
—
Total services
1,235
Distinct HCPCS
12
Medicare payment
$68K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 148 Orthopedic Surgery providers in ID — top quintile (cohort median 691).
REFERRAL NETWORK

Where William 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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kootenai County Emergency Medical Services System
Ambulance Service Provider · Coeur D Alene, ID
3196
Brian Mcnamee
Diagnostic Radiology · Coeur D Alene, ID
2976
Keith Mcklendin
Diagnostic Radiology · Coeur D Alene, ID
2676
Albert Martinez
Diagnostic Radiology · Coeur D Alene, ID
2272
HEWEL, KEITH2151
NORTH IDAHO DAY SURGERY LLC2158
Laboratory Corporation Of America
Clinical Laboratory · Seattle, WA
1942
DIRNE HEALTH CENTERS, INC1758
Randon Opp
Diagnostic Radiology · Coeur D Alene, ID
1532
Rusty Wood
Physical Therapist in Private Practice · Kellogg, ID
1382
Susan Daugharty Fowler
Internal Medicine · Coeur Dalene, ID
1337
Shaun Joshi
Internal Medicine · Hayden, ID
1355
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.