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HUGH M. SIMS III M.D.
NPI 1801862305
Specialist in Bowling Green, KY

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
340 NEW TOWNE DRIVE, BOWLING GREEN, KY 42103(270) 782-7768(270) 781-9480 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hugh M. Sims Iii M.d. NPPES

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

HUGH M. SIMS III M.D. (NPI 1801862305) is an individual specialist in Bowling Green, Kentucky, licensed in Kentucky (30304) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of University Of Alabama School Of Medicine (1989).

NPPES Registry Identity

NPI1801862305
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameHUGH M. SIMS IIICredential: M.D.
Location Address340 NEW TOWNE DRIVEBowling Green, KY 42103
Mailing Address421 Us 31w BypBowling Green, KY 42101-1775 · (270) 782-7768 · Fax (270) 781-9480
Phone(270) 782-7768
Fax(270) 781-9480
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1989
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1801862305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KY · 30304
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
340 NEW TOWNE DRIVE, Bowling Green, KY 42103
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Other Identifiers 1

Medicaid64303043KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Hugh M. Sims Iii M.d. 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 ID4880765023
PECOS Enrollment IDI20100322000169
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 Reassignment

Medicare enrollment records show Hugh Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Health Corporation, Inc.
0.1 mi
Family Medicine
291 NEW TOWNE RD
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1821478975 (270) 796-3500

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 8

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 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.
217 services168 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
201 services201 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
78 services75 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.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services27 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

Other Providers at the Same Location NPPES 2

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

HUGH SIMS MD PSC
Specialist
340 NEW TOWNE DRIVE
BOWLING GREEN, KY 42103
Warren County (270) 782-7768
MRS. CATHERINE LANPHEAR HARSTON M.A., CCC-A
Audiologist
340 NEW TOWNE DRIVE
BOWLING GREEN, KY 42103
Warren County (270) 782-7768

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 Hugh Sims's NPI number?

The NPI number for Hugh Sims is 1801862305. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Hugh Sims located?

Hugh Sims practices at 340 New Towne Drive, Bowling Green, KY 42103. The listed phone number is (270) 782-7768.

What is Hugh Sims's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hugh Sims enrolled in Medicare?

Yes. Hugh 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 organization bills Medicare for Hugh Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hugh Sims reassigns Medicare benefits to Commonwealth Health Corporation, Inc. (Bowling Green, KY). The 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 Hugh Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hugh Sims accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Hugh 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 Hugh Sims affiliated with any hospitals?

According to CMS data, Hugh Sims is affiliated with The Medical Center (bowling Green) and The Medical Center At Franklin.

When was this NPI record last updated?

The NPPES record for Hugh Sims was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.