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DAVID PAUL SIMS MD
NPI 1528013778
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Merritt Island, FL

Active since May 24, 2006PECOS Enrolled
170 ALAMEDA DR, MERRITT ISLAND, FL 32952(321) 794-2476(321) 454-6370 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2019, Jun 14, 2018 (2 updates tracked since 2018).

About David Paul Sims Md NPPES

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

DAVID PAUL SIMS MD (NPI 1528013778) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Merritt Island, Florida, licensed in Florida (ME 75615) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528013778
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDAVID PAUL SIMSCredential: MD
Location Address170 ALAMEDA DRMerritt Island, FL 32952
Mailing Address170 Alameda DrMerritt Island, FL 32952-6231 · (321) 794-2476 · Fax (321) 454-6370
Phone(321) 794-2476
Fax(321) 454-6370
Sole ProprietorYes
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1528013778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in FL · ME 75615✔ Licensed in SC · MD83110✔ Licensed in TX · S0093✔ Licensed in IL · 036.146554✔ Licensed in MT · 66636✔ Licensed in IA · 45300✔ Licensed in IN · 01080320A✔ Licensed in NE · 30809✔ Licensed in CO · 0060435
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
170 ALAMEDA DR, Merritt Island, FL 32952
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Other Identifiers 1

Medicaid255089000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP, PacificSource Health Plans 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 (PECOS)

David Paul Sims Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show David Sims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc.
7.9 mi
Urology
1317 W POINT DR
Cocoa, FL 32922
  • Reassigned Medicare billing, Florida enrollment
  • 254 clinicians in this Medicare group
NPI 1104367630 (615) 467-4158
Scl Health Medical Group - Billings, LLC
1,939 mi
General Practice
32 WICKS LN
Billings, MT 59105
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1447866538 (406) 237-8400

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
14 services14 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32952 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 1528013778. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is David Sims located?

David Sims practices at 170 Alameda Dr, Merritt Island, FL 32952. The listed phone number is (321) 794-2476.

What is David Sims's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Sims enrolled in Medicare?

Yes. David Sims is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sims reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc. (Cocoa, FL) and Scl Health Medical Group - Billings, LLC (Billings, MT). Each 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 Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan 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 September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.