Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY JEAN SIMS
NPI 1790217099
Obstetrics & Gynecology in Wexford, PA

Q: What is Mary Sims's NPI number?

The NPI number for Mary Sims is 1790217099. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Mary Sims's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sims was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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 March 28, 2017PECOS Enrolled

12311 PERRY HIGHWAY, 3RD FLOOR, WEXFORD, PA 15090(724) 449-3245(724) 449-3233 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Jun 21, 2023, May 24, 2023 and 2 more (5 updates tracked since 2017).

On this page

About Mary Jean Sims NPPES

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

MARY JEAN SIMS (NPI 1790217099) is an individual obstetrics & gynecology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD474488) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790217099

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARY JEAN SIMS

Location Address12311 PERRY HIGHWAY, 3RD FLOORWexford, PA 15090-8344

Mailing Address12311 Perry Highway, 3rd FloorWexford, PA 15090-8344 · (724) 449-3245 · Fax (724) 449-3233

Phone(724) 449-3245

Fax(724) 449-3233

Sole ProprietorYes

Enumeration DateMarch 28, 2017

Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1790217099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD474488

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

12311 PERRY HIGHWAY, Wexford, PA 15090

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15301 Grove RdPittsburgh, PA 15236-1691 · Phone (724) 941-1866

Location 21000 Bower Hill Rd # 213Pittsburgh, PA 15243-1873 · Phone (724) 941-1866

Location 33928 Washington Rd Ste 230Mc Murray, PA 15317-2594 · Phone (724) 941-1866

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jean Sims 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

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

Duke University Health System, Inc.

323 mi

Internal Medicine

4220 N ROXBORO ST
Durham, NC 27704

Reassigned Medicare billing, North Carolina enrollment
1,482 clinicians in this Medicare group

NPI 1962721308 (919) 471-8344

Duke Health Integrated Practice, Inc

324 mi

Foot and Ankle Surgery

2609 N DUKE ST STE 301
Durham, NC 27704

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1518725936 (919) 477-9333

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

35 services35 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

20 services20 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.

18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

ZACHARY GEORGE JONES DPT

Physical Therapist

12311 PERRY HIGHWAY
WEXFORD, PA 15090

Allegheny County (412) 359-4646

ALLEGHENY CLINIC

Radiology (Radiation Oncology)

12311 PERRY HIGHWAY
WEXFORD, PA 15090

Allegheny County (412) 359-4068

JACQUELINE MARIE HOOVER MS, LCGC

Genetic Counselor, MS

12311 PERRY HIGHWAY, WEXFORD HEALTH AND WELLNESS PAVILLION, 2ND FLOOR
WEXFORD, PA 15090

Allegheny County (412) 692-5935

ALLEGHENY CLINIC

Clinical Medical Laboratory

12311 PERRY HIGHWAY
WEXFORD, PA 15090

Allegheny County (412) 330-5112

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 Mary Sims's NPI number?

The NPI number for Mary Sims is 1790217099. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Mary Sims located?

Mary Sims practices at 12311 Perry Highway 3rd Floor, Wexford, PA 15090. The listed phone number is (724) 449-3245.

What is Mary Sims's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Sims enrolled in Medicare?

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

Which organizations bill Medicare for Mary Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sims reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Duke Health Integrated Practice, Inc (Durham, NC). 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 Mary Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Sims accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mary 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 Mary Sims was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.