STEPHEN HUBERT SIMS MD
NPI 1144245853
Orthopaedic Surgery in Albemarle, NC
About Stephen Hubert Sims Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN HUBERT SIMS MD (NPI 1144245853) is an individual orthopaedic surgery provider in Albemarle, North Carolina, licensed in North Carolina (33749) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Stanly Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Stephen Hubert Sims Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephen Sims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albemarle, NC 28001
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Stanly Regional Medical Center
Acute Care Hospitals · Albemarle, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ALBEMARLE, NC 28001
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 Stephen Sims's NPI number?
The NPI number for Stephen Sims is 1144245853. It was assigned to this individual provider in the NPPES registry on July 13, 2006.
Where is Stephen Sims located?
Stephen Sims practices at 105 Yadkin St Ste 101, Albemarle, NC 28001. The listed phone number is (980) 323-5425.
What is Stephen Sims's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Stephen Sims enrolled in Medicare?
Yes. Stephen 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 organizations bill Medicare for Stephen Sims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Sims reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Albemarle, NC) and Carolinas Medical Center (Concord, NC). Each 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 Stephen Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Sims accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Stephen 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 Stephen Sims affiliated with any hospitals?
According to CMS data, Stephen Sims is affiliated with Stanly Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Stephen Sims was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stephen Hubert Sims, MD · NPI 1144245853
Orthopaedic Surgery physician in Albemarle, North Carolina. Individual provider, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1144245853 (Entity type: Individual)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 33749 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 YADKIN ST, STE 101, Albemarle, NC 28001-3449
- **Phone:** (980) 323-5425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1093119513, Albemarle, NC); Carolinas Medical Center (NPI 1467790055, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1983
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144245853) · Data from the CMS NPPES public registry.