MARY JEAN SIMS
NPI 1790217099
Obstetrics & Gynecology in Mc Murray, PA

Active since March 28, 2017PECOS Enrolled
3928 WASHINGTON RD STE 230, MC MURRAY, PA 15317(724) 941-1866 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, May 24, 2023, Jan 26, 2022 and 1 more (4 updates tracked since 2017).

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 Mc Murray, Pennsylvania, licensed in Pennsylvania (MD474488) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790217099
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY JEAN SIMS
Location Address3928 WASHINGTON RD STE 230Mc Murray, PA 15317-2594
Mailing Address3928 Washington Rd Ste 230Mc Murray, PA 15317-2594 · (724) 941-1866
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 21, 20234 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
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.
3928 WASHINGTON RD STE 230, Mc Murray, PA 15317

Secondary Practice Locations 2

Location 11000 Bower Hill Rd # 213Pittsburgh, PA 15243-1873 · Phone (724) 941-1866
Location 25301 Grove RdPittsburgh, PA 15236-1691 · Phone (724) 941-1866

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Mary Jean Sims is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123387701
PECOS Enrollment IDI20250917004796
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 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

Hospital Affiliations CMS Care Compare

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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 6

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

Nurse Practitioner (Women's Health)
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317
Nurse Practitioner (Family)
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317
Obstetrics & Gynecology
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317
Obstetrics & Gynecology
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317
Nurse Practitioner (Obstetrics & Gynecology)
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317
Nurse Practitioner (Family)
3928 WASHINGTON RD STE 230
MC MURRAY, PA 15317

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 3928 Washington Rd Ste 230, Mc Murray, PA 15317. The listed phone number is (724) 941-1866.

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.

What insurance does Mary Sims accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield West Virginia 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.

Is Mary Sims affiliated with any hospitals?

According to CMS data, Mary Sims is affiliated with St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Mary Sims was last updated on June 21, 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.