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

Q: 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.

Q: What is Hugh Sims's specialty?

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

Q: 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.

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: August 16, 2026.

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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 from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Hugh Sims accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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.