NATHAN KYLE SIMS DO
NPI 1114230422
Emergency Medicine in Columbia, SC

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
5 RICHLAND MEDICAL PARK, SUITE 350, DEPARTMENT OF EMERGENCY MEDICINE, COLUMBIA, SC 29203(803) 434-3790(803) 434-3946 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nathan Kyle Sims Do NPPES

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

NATHAN KYLE SIMS DO (NPI 1114230422) is an individual emergency medicine provider in Columbia, South Carolina, licensed in South Carolina (LL1394) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2010).

NPPES Registry Identity

NPI1114230422
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNATHAN KYLE SIMSCredential: DO
Location Address5 RICHLAND MEDICAL PARK, SUITE 350, DEPARTMENT OF EMERGENCY MEDICINEColumbia, SC 29203
Mailing Address5 Richland Medical Park, Suite 350, Department Of Emergency MedicineColumbia, SC 29203 · (803) 434-3790 · Fax (803) 434-3946
Fax(803) 434-3946
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2010
Enumeration DateJuly 16, 2010
NPI 1114230422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · LL1394
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5 RICHLAND MEDICAL PARK, SUITE 350, Columbia, SC 29203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan Kyle Sims Do 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 ID1052564408
PECOS Enrollment IDI20130114000508
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services98 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
35 services34 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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 Nathan Sims's NPI number?

The NPI number for Nathan Sims is 1114230422. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Nathan Sims located?

Nathan Sims practices at 5 Richland Medical Park, Suite 350 Department Of Emergency Medicine, Columbia, SC 29203. The listed phone number is (803) 434-3790.

What is Nathan Sims's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nathan Sims enrolled in Medicare?

Yes. Nathan 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.

What insurance does Nathan Sims accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Nathan 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.

Is Nathan Sims affiliated with any hospitals?

According to CMS data, Nathan Sims is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Sims was last updated on July 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.