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DR. DANIEL REID SIMS D.O.
NPI 1669836532
Internal Medicine - Hematology & Oncology in Provo, UT

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD, PROVO, UT 84604(801) 357-0775(801) 357-0771 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2023, Oct 19, 2023, Jan 16, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Daniel Reid Sims D.o. NPPES

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

DR. DANIEL REID SIMS D.O. (NPI 1669836532) is an individual hematology & oncology provider in Provo, Utah, licensed in Utah (13381040-1204) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1669836532
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DANIEL REID SIMSCredential: D.O.
Location Address395 W COUGAR BLVDProvo, UT 84604-3311
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-0775
Fax(801) 357-0771
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateOctober 23, 20235 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1669836532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in UT · 13381040-1204
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A16040 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License 20A16040 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
395 W COUGAR BLVD, Provo, UT 84604
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Other Names 1

Professional Name (2)Dan Sims D.o.

Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 459-4390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health 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. Daniel Reid Sims D.o. 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 ID3476886409
PECOS Enrollment IDI20230914004056
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 Daniel Sims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Surgery
395 W COUGAR BLVD STE 802
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1710136742 (801) 357-1030
Northeastern Utah Medical Group
112 mi
Family Medicine
210 W 300 N 7-3
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 78 clinicians in this Medicare group
NPI 1982664199 (435) 722-3971

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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services37 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.
78 services37 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.
61 services41 patients
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.
34 services34 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Delta Community Hospital

Critical Access Hospitals · Delta, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461300
Location126 South White Sage AvenueDelta, UT 84624 · Millard County
Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461303
Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 18

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

DANIEL N. BENNETT MD
Internal Medicine (Cardiovascular Disease)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4600
AMBER ELEXIS MARSH FNP-C
Nurse Practitioner (Adult Health)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7850
MEGAN E JENSEN-HILL PA-C
Physician Assistant
395 W COUGAR BLVD, STE 803
PROVO, UT 84604
Utah County (801) 235-7246
AUSTIN GUY BLANCHARD
Nurse Practitioner
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4600
KAYLA NORTON MS, RDN
Dietitian, Registered
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4141
EMMA CAROL CALVERT ELISON RN
Registered Nurse (Diabetes Educator)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7546
IHC HEALTH SERVICES INC
Internal Medicine (Rheumatology)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 442-2000
JAKOB MROZEWSKI MD
Psychiatry & Neurology (Neurology)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7420

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 Daniel Sims's NPI number?

The NPI number for Daniel Sims is 1669836532. It was assigned to this individual provider in the NPPES registry on April 7, 2016. The provider is also known as Dan Sims D.O..

Where is Daniel Sims located?

Daniel Sims practices at 395 W Cougar Blvd, Provo, UT 84604. The listed phone number is (801) 357-0775.

What is Daniel Sims's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Daniel Sims enrolled in Medicare?

Yes. Daniel 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 organizations bill Medicare for Daniel Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Sims reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Provo, UT) and Northeastern Utah Medical Group (Roosevelt, UT). 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 Daniel Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Sims accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Daniel 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 Daniel Sims affiliated with any hospitals?

According to CMS data, Daniel Sims is affiliated with Utah Valley Hospital, American Fork Hospital, Sevier Valley Hospital, Delta Community Hospital and Sanpete Valley Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Daniel Sims was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.