STEPHEN HUBERT SIMS MD
NPI 1144245853
Orthopaedic Surgery in Albemarle, NC

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
105 YADKIN ST, STE 101, ALBEMARLE, NC 28001(980) 323-5425 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 46 more (49 updates tracked since 2018).

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 Indiana University Health Ball Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144245853
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTEPHEN HUBERT SIMSCredential: MD
Location Address105 YADKIN ST, STE 101Albemarle, NC 28001-3449
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1983
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 15, 202449 updates tracked since enumeration
NPI 1144245853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 33749
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
105 YADKIN ST, Albemarle, NC 28001

Secondary Practice Locations 2

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1340
Location 21025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 446-2060

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

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.

PECOS PAC ID5395746507
PECOS Enrollment IDI20070130000482, I20250306002403
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
105 YADKIN ST, SUITE 102
ALBEMARLE, NC 28001
Surgery
105 YADKIN ST, STE 203
ALBEMARLE, NC 28001
Pediatrics
105 YADKIN ST, SUITE 303
ALBEMARLE, NC 28001
Orthopaedic Surgery (Sports Medicine)
105 YADKIN ST, STE 101
ALBEMARLE, NC 28001
Pediatrics
105 YADKIN ST, SUITE 303
ALBEMARLE, NC 28001
Obstetrics & Gynecology
105 YADKIN ST, STE 102
ALBEMARLE, NC 28001
Nurse Practitioner (Family)
105 YADKIN ST, STE 303
ALBEMARLE, NC 28001
Obstetrics & Gynecology
105 YADKIN ST, STE 102
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.

What insurance does Stephen Sims accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 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 Indiana University Health Ball Memorial Hospital and 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.