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Stephen Michael Sims

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NPI Number Detailed Information

Provider Information:

Name: Stephen Michael Sims
Gender: M
Provider License Number If Given: J7288

NPI Information:

NPI: 1083623136
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/7/2006

Last Update Date: 12/11/2019

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 621004
Dallas, TX 75262
Phone Number: 9367563464
Fax Number: 9367035191

Provider Business Practice Location Address:

Address: 133 MEDICAL PARK LN STE B
Huntsville, TX 77340
Phone Number: 9367308833
Fax Number: 9367308866

Provider Taxonomy:

Primary: 208VP0000X
Secondary (if any):
State: TX

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About Stephen Michael Sims

Stephen Michael Sims ( STEPHEN MICHAEL SIMS ) is Pain Pain Medicine Physician in Huntsville, TX. The NPI Number for Stephen Michael Sims is 1083623136.
The current location address for Stephen Michael Sims is 133 MEDICAL PARK LN STE B Huntsville, TX 77340 and the contact number is 9367563464 and fax number is 9367035191. The mailing address for Stephen Michael Sims is PO BOX 621004 Dallas, TX 75262- 9367308833 (mailing address contact number - 9367563464).
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Provider Business Location on Map

FAQs:

What is the NPI Number for Stephen Michael Sims ?


Answer: The NPI Number for Stephen Michael Sims is 1083623136

Where is Stephen Michael Sims located?


Answer: Stephen Michael Sims is located at 133 MEDICAL PARK LN STE B Huntsville, TX 77340.

What is the specialty for Stephen Michael Sims ?


Answer: The Specialty of Stephen Michael Sims is Pain Pain Medicine Physician.

Are there any online reviews for Stephen Michael Sims ?


Answer: Yes! Check It Now.

Are there any other health care providers in Huntsville, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Stephen Michael Sims

Number of HCPCS 113
Number of Medicare Beneficiaries 584
Number of Services 21178
Total Submitted Charge Amount 4548558.84
Total Medicare Allowed Amount 1088570.18
Total Medicare Payment Amount 887167.02
Total Medicare Standardized Payment Amount 904269.55
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 18
Number of Medicare Beneficiaries With Drug Services 394
Number of Drug Services 16015
Total Drug Submitted Charge Amount 173748
Total Drug Medicare Allowed Amount 38667.09
Total Drug Medicare Payment Amount 30885.97
Total Drug Medicare Standardized Payment Amount 30843.26
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 95
Number of Medicare Beneficiaries With Medical 584
Number of Medical Services 5163
Total Medical Submitted Charge Amount 4374810.84
Total Medical Medicare Allowed Amount 1049903.09
Total Medical Medicare Payment Amount 856281.05
Total Medical Medicare Standardized Payment Amount 873426.29
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 67
Number of Beneficiaries Age 65 to 74 270
Number of Beneficiaries Age 75 to 84 182
Number of Beneficiaries Age Greater 84 65
Number of Female Beneficiaries 311
Number of Male Beneficiaries 273
Number of Non-Hispanic White Beneficiaries 517
Number of Black or African American Beneficiaries 33
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 15
Number of Beneficiaries With Medicare & Medicaid Entitlement 28
Number of Beneficiaries With Medicare Only Entitlement 556
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.21
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.39
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.3876

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 5003
Number of Standardized 30-Day Fills 5210.0333333
Aggregate Cost Paid for All Claims 300946.63
Number of Day's Supply for All Claims 149672
Number of Medicare Beneficiaries 663
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3689
Including Refills, for Beneficiaries Age 65+ 3835.0333333
Beneficiaries Age 65+ 241096.17
Number of Day's Supply for All Claims for Beneficaries Age 65+ 109578
Number of Medicare Beneficiaries Age 65+ 543
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 267
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4736
Aggregate Cost Paid for Generic Drugs 145802.5
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1744
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 101141.88
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3259
Aggregate Cost Paid for Claims Filled by 199804.75
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1281
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 112121.52
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3722
by Low-Income Subsidy 188825.11
Total Claims of Opioid Drugs, Including 3431
Aggregate Cost Paid for Opioid Drugs 251191.02
Opioid Claims 549
Opioid_Tot_Clms divided by the Tot_Clms 68.578852688
Total Claims of Long-Acting Opioid Drugs 648
Aggregate Cost Paid for Long-Acting Opioid 158734.54
Number of Day's Supply of All Long-Acting 19318
Long-Acting Opioid Claims 112
Opioid_LA_Tot_Clms divided by the 18.886621976
Total Claims of Antibiotic Drugs, Including 22
Aggregate Cost Paid for Antibiotic Drugs 304.16
Antibiotic Claims 19
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 71.592760181
Number of Beneficiaries Age Less Than 65 120
Number of Beneficiaries Age 65 to 74 305
Number of Beneficiaries Age 75 to 84 185
Number of Female Beneficiaries 384
Number of Male Beneficiaries 279
Number of Non-Hispanic White 588
Number of Black or African American 41
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 15
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 12
Only Entitlement 582
Average Hierarchical Condition Category 1.4850874797

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