What is Anthony Sims's specialty?

Anthony Sims (NPI 1992786636) is a Medicare-billing provider whose primary specialty is Family Practice in Henagar, AL.

Where does Anthony Sims practice?

Anthony Sims practices in Henagar, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1992786636.

How much does Medicare pay Anthony Sims?

Anthony Sims (NPI 1992786636) received approximately $138K in total Medicare Part B payments, serving 426 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1992786636

Anthony SimsM.D.

PRACTICEHENAGAR FAMILY MEDICINE, L.L.C.See all providers at this practice →

Family PracticeHenagar, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,448

Unique beneficiaries

—

Total services

4,027

Distinct HCPCS

Medicare payment

$129K

Peer benchmark

Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).

PRESCRIBING · PART D · 2024

Total Rx claims

25,135

Beneficiaries

—

Total drug cost

$2.0M

Distinct drugs

219

Brand share

22.2%

Top prescribed drugs

Alprazolam1,084 claims

Hydrocodone/Acetaminophen993 claims

Gabapentin852 claims

Levothyroxine Sodium706 claims

Pantoprazole Sodium664 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$827

Payment records

By payment type

Food and Beverage$827

Top paying entities

Food and Beverage$827

REFERRAL NETWORK

Where Anthony 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). 35 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MILLS, ROBERT	136	565
Dekalb County Hospital Association Ambulance Service Provider · Fort Payne, AL	69	431
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	64	352
ABC HOSPICE, INC	58	388
Carmelo Mendiola Internal Medicine · Fort Payne, AL	53	287
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE	52	139
Shannon Morgan Emergency Medicine · Fort Payne, AL	48	166
MEMORIAL HEALTH CARE SYSTEM INC.	32	82
Martin Habel Optometry · Rainsville, AL	28	69
Charles Dabbs Ophthalmology · Gadsden, AL	25	75
Robert Terrell Chiropractic · Rainsville, AL	23	99
Phillip Laney Cardiology · Huntsville, AL	22	90

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