DR. SAMUEL SIM MD
NPI 1275633844
Internal Medicine - Gastroenterology in Bristol, TN

Q: What is Samuel Sim's NPI number?

The NPI number for Samuel Sim is 1275633844. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Samuel Sim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Sim was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 24, 2006PECOS Enrolled

1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Jul 7, 2025, Nov 7, 2024 and 2 more (5 updates tracked since 2023).

On this page

About Dr. Samuel Sim Md NPPES

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

DR. SAMUEL SIM MD (NPI 1275633844) is an individual gastroenterology provider in Bristol, Tennessee, licensed in Georgia (110424) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275633844

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SAMUEL SIMCredential: MD

Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430

Mailing Address3250 Se 164th Ave Ste 205Vancouver, WA 98683-9313 · (360) 946-4313

Phone(423) 844-1121

Sole ProprietorNo

Medical School CMSUniversity Of Alberta, Faculty Of MedicineGraduated 1991

Enumeration DateSeptember 24, 2006

Last NPPES UpdateJune 5, 20265 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1275633844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in GA · 110424✔ Licensed in AZ · 77301✔ Licensed in MI · EMC0004965✔ Licensed in MT · 129513✔ Licensed in HI · MD-12112✔ Licensed in WA · MD00032743

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1 MEDICAL PARK BLVD, Bristol, TN 37620

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Secondary Practice Locations 5

Location 11390 W 16th StYuma, AZ 85364-4430 · Phone (928) 344-4325

Location 23304 Cooley CtPortage, MI 49024-7430 · Phone (269) 349-2266

Location 3130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000

Location 4320 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 752-7441 · Fax (406) 257-0304

Location 5221 Mahalani StWailuku, HI 96793-2526 · Phone (808) 224-9056

Other Identifiers 3

Medicaid519043-01HI

Other0000237701HI · Hmsa Billing Number

Medicaid8179897WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, HMSA and more.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. Samuel Sim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224029830

PECOS Enrollment IDI20090303000112, I20220606002988, I20240306001723, I20250805002599

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 3

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.

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

CASSONDRA NICHOLE COMPTON CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2686

DAVID R HUDGENS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

DR. JEAN MARIE MANCINI M.D.

Internal Medicine

1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620

Sullivan County (423) 968-3713

THOMAS A KITTS MD

Emergency Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2100

LAURA ANN ELLER AGACNP

Nurse Practitioner (Critical Care Medicine)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. WALTER DAVIS ARNOLD JR. MD

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 282-1480

DR. KARL E LAWRENCE M.D.

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. MICHAEL WAYNE RENTZ MD

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

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 Samuel Sim's NPI number?

The NPI number for Samuel Sim is 1275633844. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Samuel Sim located?

Samuel Sim practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Samuel Sim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Samuel Sim enrolled in Medicare?

Yes. Samuel Sim is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Sim accept?

Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, HMSA, Medica and Oscar Insurance Company and 5 other insurers list Samuel Sim 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 Samuel Sim affiliated with any hospitals?

According to CMS data, Samuel Sim is affiliated with Houston Healthcare and Maui Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Sim was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.