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DR. DAVID H SIMS DPM
NPI 1225117591
Podiatrist in Pearl River, NY

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
5307 MURRAY CT, PEARL RIVER, NY 10965(973) 303-1648 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David H Sims Dpm NPPES

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

DR. DAVID H SIMS DPM (NPI 1225117591) is an individual podiatrist in Pearl River, New York, licensed in New Jersey (25MD00152300) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1981).

NPPES Registry Identity

NPI1225117591
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. DAVID H SIMSCredential: DPM
Location Address5307 MURRAY CTPearl River, NY 10965-2951
Mailing Address5307 Murray CtPearl River, NY 10965-2951 · (973) 303-1648 · Fax (973) 334-2217
Phone(973) 303-1648
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1981
Enumeration DateNovember 6, 2006
Last NPPES UpdateDecember 7, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1225117591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00152300
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5307 MURRAY CT, Pearl River, NY 10965
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. David H Sims Dpm 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 ID4880753136
PECOS Enrollment IDI20081101000051
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 David Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parsippany Foot & Ankle LLC
26 mi
Podiatrist
50 CHERRY HILL RD STE 206
Parsippany, NJ 07054
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1578741666 (973) 334-1770

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 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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
577 services177 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
388 services124 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
60 services60 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
51 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10965 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 David Sims's NPI number?

The NPI number for David Sims is 1225117591. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is David Sims located?

David Sims practices at 5307 Murray Ct, Pearl River, NY 10965. The listed phone number is (973) 303-1648.

What is David Sims's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is David Sims enrolled in Medicare?

Yes. David 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 David Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sims reassigns Medicare benefits to Parsippany Foot & Ankle LLC (Parsippany, NJ). 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 David Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Sims accept?

Health plans from Oscar Health list David 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 David Sims was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.