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DR. BRIAN E SIMS D.O.
NPI 1023051554
Pediatrics in Waterloo, IA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
2710 SAINT FRANCIS DR, SUITE 510, WATERLOO, IA 50702(319) 272-5000(319) 272-5445 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brian E Sims D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN E SIMS D.O. (NPI 1023051554) is an individual pediatrics provider in Waterloo, Iowa, licensed in Iowa (03293) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1023051554
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRIAN E SIMSCredential: D.O.
Location Address2710 SAINT FRANCIS DR, SUITE 510Waterloo, IA 50702-5619
Mailing Address2101 Kimball Ave, Ll14Waterloo, IA 50702-5063 · (319) 272-1590 · Fax (319) 272-1535
Phone(319) 272-5000
Fax(319) 272-5445
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 19, 2007
✔ NPI 1023051554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · 03293
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2710 SAINT FRANCIS DR, Waterloo, IA 50702
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Other Identifiers 3

Medicare PIN17834IA
Medicare UPINH13091IA
Medicaid0208926IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian E Sims D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163554528
PECOS Enrollment IDI20100720000893
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc
0.1 mi
Emergency Medicine
3421 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 271 clinicians in this Medicare group
NPI 1528009545 (319) 272-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD M KANE DPM
Podiatrist
2710 SAINT FRANCIS DR, SUITE 210
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
MRS. HILARY PATES LMHC, CADC
Counselor
2710 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
DR. ASHOK K NAKHASI M.D.
Psychiatry & Neurology (Neurology)
2710 SAINT FRANCIS DR, SUITE # 302
WATERLOO, IA 50702
Black Hawk County (319) 272-8644
BRIAN K SANKEY D.O.
Family Medicine
2710 SAINT FRANCIS DR, SUITE 210
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
LUIS AVILA MD
Anesthesiology
2710 SAINT FRANCIS DR, SUITE 410
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
DR. NEIL G MCMAHON MD
Surgery
2710 SAINT FRANCIS DR, SUITE 410
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
ROBERT N FEDERHOFER
Anesthesiology (Pain Medicine)
2710 SAINT FRANCIS DR, SUITE 410
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
DR. LORI A. SHOCKLEY M.D.
Pediatrics
2710 SAINT FRANCIS DR, SUITE 510
WATERLOO, IA 50702
Black Hawk County (319) 272-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Sims's NPI number?

The NPI number for Brian Sims is 1023051554. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Brian Sims located?

Brian Sims practices at 2710 Saint Francis Dr Suite 510, Waterloo, IA 50702. The listed phone number is (319) 272-5000.

What is Brian Sims's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Sims enrolled in Medicare?

Yes. Brian Sims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Sims reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Sims accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Brian Sims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Sims was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.