DR. MICHAEL D SIMS M.D.
NPI 1336114313
Family Medicine in Grand Prairie, TX

Q: What is Michael Sims's NPI number?

The NPI number for Michael Sims is 1336114313. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Michael Sims's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sims was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

4560 LAKE RIDGE PARKWAY, SUITE 200, GRAND PRAIRIE, TX 75052(972) 263-5272(972) 263-3488 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Michael D Sims M.d. NPPES

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

DR. MICHAEL D SIMS M.D. (NPI 1336114313) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (K3008) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and maintains a secondary practice location in Grand Prairie.

NPPES Registry Identity

NPI1336114313

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL D SIMSCredential: M.D.

Location Address4560 LAKE RIDGE PARKWAY, SUITE 200Grand Prairie, TX 75052

Mailing Address3400 W Wheatland Rd, Pav Iii Ste#360Dallas, TX 75237-4418 · (214) 884-4700 · Fax (214) 884-4749

Phone(972) 263-5272

Fax(972) 263-3488

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1996

Enumeration DateFebruary 22, 2006

Last NPPES UpdateJune 12, 2018

✔ NPI 1336114313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K3008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4560 LAKE RIDGE PARKWAY, Grand Prairie, TX 75052

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Secondary Practice Location 1

Location 14116 S Carrier Pkwy, Ste #250Grand Prairie, TX 75052-3200 · Phone (972) 263-5272 · Fax (972) 263-3486

Other Identifiers 2

Other8K2771TX · Bc/bs

Medicaid047165803TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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. Michael D Sims M.d. 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 ID5294718342

PECOS Enrollment IDI20040609001431

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 Michael Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth

Same address

Urgent Care

4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052

Reassigned Medicare billing, Texas enrollment
562 clinicians in this Medicare group

NPI 1558762690 (972) 522-7778

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 11

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.

130 services75 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.

97 services70 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

69 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.

50 services50 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

41 services41 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

39 services37 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.

39 services38 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

39 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services27 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450723

Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAUN PETER GARFF D.O.

Family Medicine (Sports Medicine)

4560 LAKE RIDGE PARKWAY, SUITE 300
DALLAS, TX 75052

Dallas County (214) 278-5000

DR. ERIC JOSEPH BEADLE M.D.

Family Medicine

4560 LAKE RIDGE PARKWAY, SUITE 200
GRAND PRAIRIE, TX 75052

Dallas County (972) 263-5272

MEDHEALTH

Durable Medical Equipment & Medical Supplies

4560 LAKE RIDGE PARKWAY, SUITE 300
GRAND PRAIRIE, TX 75052

Dallas County (214) 948-2076

DR. PAMELA SANTONE D.O.

Family Medicine

4560 LAKE RIDGE PARKWAY, SUITE 200
GRAND PRAIRIE, TX 75052

Dallas County (972) 263-5272

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 Michael Sims's NPI number?

The NPI number for Michael Sims is 1336114313. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Michael Sims located?

Michael Sims practices at 4560 Lake Ridge Parkway Suite 200, Grand Prairie, TX 75052. The listed phone number is (972) 263-5272.

What is Michael Sims's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Sims enrolled in Medicare?

Yes. Michael 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 Michael Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sims reassigns Medicare benefits to Medhealth (Grand Prairie, TX). 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 Michael Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sims accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 1 other insurer list Michael 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 Michael Sims affiliated with any hospitals?

According to CMS data, Michael Sims is affiliated with Methodist Charlton Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Sims was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.