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DR. LARHONDA KAY SIMS MD
NPI 1154373488
Family Medicine - Adult Medicine in Oklahoma City, OK

Active since May 16, 2006PECOS Enrolled
91.18/100
CMS Quality Rating
3330 NW 56TH ST, STE 500, OKLAHOMA CITY, OK 73112(405) 606-7800(405) 606-7800 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larhonda Kay Sims Md NPPES

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

DR. LARHONDA KAY SIMS MD (NPI 1154373488) is an individual adult medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21822) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154373488
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. LARHONDA KAY SIMSCredential: MD
Location Address3330 NW 56TH ST, STE 500Oklahoma City, OK 73112-4479
Mailing AddressPo Box 1330Norman, OK 73070-1330 · (405) 606-7800 · Fax (405) 606-7800
Phone(405) 606-7800
Fax(405) 606-7800
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1154373488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OK · 21822
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

3330 NW 56TH ST, Oklahoma City, OK 73112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larhonda Kay Sims Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services91 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
30 services30 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
30 services30 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
30 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
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.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers19 claims67 services$6.22 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers14 claims14 services$29.36 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers13 claims70 services$1.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ESSENTIAL INTEGRATIVE HEALTH PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
3330 NW 56TH ST, SUITE 612
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 601-8810
DAVID G. WADE DPM PLLC
Podiatrist (Foot & Ankle Surgery)
3330 NW 56TH ST, #600
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 947-8041
SHAMIKA MACK CNP
Nurse Practitioner (Family)
3330 NW 56TH ST, SUITE 300
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 945-5275
DR. LARRY R ENGELMANN AUD
Specialist
3330 NW 56TH ST, SUITE 218
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 946-0364
ADVANCED IMAGING LLC
Radiology (Diagnostic Radiology)
3330 NW 56TH ST, SUITE 206
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 945-4710
RADIOLOGY ASSOCIATES OF EASTERN OKLAHOMA PLLC
Radiology (Diagnostic Radiology)
3330 NW 56TH ST, SUITE 206
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 945-4710
DARLENE KAY FOSTER MD
Internal Medicine
3330 NW 56TH ST, STE 604
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 951-5992
DR. VIJAYA L MALPANI M.D.
Pediatrics
3330 NW 56TH ST, FL 400
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 945-4220

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 Larhonda Sims's NPI number?

The NPI number for Larhonda Sims is 1154373488. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Larhonda Sims located?

Larhonda Sims practices at 3330 NW 56th St Ste 500, Oklahoma City, OK 73112. The listed phone number is (405) 606-7800.

What is Larhonda Sims's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Larhonda Sims enrolled in Medicare?

Yes. Larhonda Sims is registered in the Medicare PECOS enrollment system.

What insurance does Larhonda Sims accept?

Health plans from CommunityCare list Larhonda 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 Larhonda Sims was last updated on January 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.