MICHAEL LEE SIMS M.D.
NPI 1508278243
Orthopaedic Surgery in Greenville, SC

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
35 INTERNATIONAL DR, GREENVILLE, SC 29615(864) 234-7654(864) 675-1657 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2020, Jul 10, 2019 (2 updates tracked since 2019).

About Michael Lee Sims M.d. NPPES

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

MICHAEL LEE SIMS M.D. (NPI 1508278243) is an individual orthopaedic surgery provider in Greenville, South Carolina, licensed in South Carolina (LL36875) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508278243
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL LEE SIMSCredential: M.D.
Location Address35 INTERNATIONAL DRGreenville, SC 29615-4816
Mailing Address35 International DrGreenville, SC 29615-4816 · (864) 234-7654 · Fax (864) 675-1657
Fax(864) 675-1657
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2014
Enumeration DateMay 29, 2014
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
NPI 1508278243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SC · LL36875 Licensed in TN · 59033
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.
35 INTERNATIONAL DR, Greenville, SC 29615

Secondary Practice Locations 2

Location 1701 Grove Rd, 2nd Floor Support TowerGreenville, SC 29605-4210 · Phone (864) 455-7878 · Fax (864) 455-7082
Location 21400 S Germantown RdGermantown, TN 38138 · Phone (901) 759-3100

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

Michael Lee 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 ID6507085586
PECOS Enrollment IDI20200818000008
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 15

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.
251 services183 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
228 services139 patients
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.
138 services114 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
133 services103 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
91 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Dynamic adjustable ankle extension/flexion device, includes soft interface material E1815
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$84.41 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.

Physical Medicine & Rehabilitation
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Physical Therapist
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Physical Therapist
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Physician Assistant
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Orthopaedic Surgery
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Physician Assistant (Surgical)
35 INTERNATIONAL DR
GREENVILLE, SC 29615
Physician Assistant
35 INTERNATIONAL DR
GREENVILLE, SC 29615

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 1508278243. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Michael Sims located?

Michael Sims practices at 35 International Dr, Greenville, SC 29615. The listed phone number is (864) 234-7654.

What is Michael Sims's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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.

What insurance does Michael Sims accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare 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 St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Michael Sims was last updated on August 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.