MRS. DORI KAY SIMS P.A.
NPI 1518104181
Physician Assistant in Groesbeck, TX
About Mrs. Dori Kay Sims P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DORI KAY SIMS P.A. (NPI 1518104181) is an individual physician assistant in Groesbeck, Texas and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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
Mrs. Dori Kay Sims P.a. 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence
Acute Care Hospitals · Waco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dori Sims's NPI number?
The NPI number for Dori Sims is 1518104181. It was assigned to this individual provider in the NPPES registry on January 19, 2009.
Where is Dori Sims located?
Dori Sims practices at 204 W Trinity St, Groesbeck, TX 76642. The listed phone number is (254) 729-3740.
What is Dori Sims's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Dori Sims enrolled in Medicare?
Yes. Dori 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 Dori Sims accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dori 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 Dori Sims affiliated with any hospitals?
According to CMS data, Dori Sims is affiliated with Ascension Providence.
When was this NPI record last updated?
The NPPES record for Dori Sims was last updated on January 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.
