DR. ERIK JON SIMS DPM
NPI 1831399252
Podiatrist - Foot & Ankle Surgery in Poughkeepsie, NY

Q: What is Erik Sims's NPI number?

The NPI number for Erik Sims is 1831399252. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Erik Sims's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Erik Sims was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 July 24, 2007PECOS EnrolledAccepts Medicare Assignment

85.49/100

CMS Quality Rating

5 EASTDALE AVE S STE 203, POUGHKEEPSIE, NY 12603(845) 471-2243(845) 471-2883 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Erik Jon Sims Dpm NPPES

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

DR. ERIK JON SIMS DPM (NPI 1831399252) is an individual foot & ankle surgery provider in Poughkeepsie, New York, licensed in New York (N006212) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831399252

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. ERIK JON SIMSCredential: DPM

Location Address5 EASTDALE AVE S STE 203Poughkeepsie, NY 12603-1955

Mailing Address5 Eastdale Ave SPoughkeepsie, NY 12603-1955 · (845) 471-2243 · Fax (844) 471-2883

Phone(845) 471-2243

Fax(845) 471-2883

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2005

Enumeration DateJuly 24, 2007

Last NPPES UpdateNovember 26, 2024

NPPES CertifiedNovember 26, 2024

✔ NPI 1831399252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NY · N006212

Also ListedPodiatristTaxonomy 213E00000X · License N006212-1 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5 EASTDALE AVE S STE 203, Poughkeepsie, NY 12603

Open in Google Maps ↗

Secondary Practice Locations 2

Location 160 Park LnHighland, NY 12528-7810 · Phone (845) 471-2243

Location 2969 Main StFishkill, NY 12524-1789 · Phone (845) 897-2735 · Fax (845) 897-2763

Other Identifiers 1

Medicaid03028773NY

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. Erik Jon Sims Dpm 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 ID1456422153

PECOS Enrollment IDI20080624000772

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 Erik Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lewis J Sims DPM P.C.

Same address

Podiatrist

5 EASTDALE AVE S
Poughkeepsie, NY 12603

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1639179294 (845) 471-2243

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 20

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.

1,700 services647 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

168 services152 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.

168 services168 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

118 services40 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

108 services61 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

107 services69 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

60 services42 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

54 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

43 services21 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

42 services36 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.

39 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services18 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

24 services20 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

19 services16 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

18 services12 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

16 services15 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

14 services14 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.

14 services14 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330234

Location100 Woods RdValhalla, NY 10595 · Westchester County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.67

Improvement Activities

Reported Quality Measures

Advance Care Plan

94%1,299 patients4/55-star benchmark: 100%

Bunion Outcome - Adult and Adolescent

0%133 patients1/55-star benchmark: 92%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

73%568 patients3/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

68%567 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

95%5,335 patients3/55-star benchmark: 100%

Falls: Plan of Care

0%87 patients

Hammer Toe Outcome

1%172 patients

Heel Pain Treatment Outcomes for Adults

31%214 patients

Patient-Centered Surgical Risk Assessment and Communication

0%182 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

80%2,205 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

68%1,828 patients3/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 2,323 patients

Patients screened: 100% · 192 patients

97%2,323 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers28 claims55 services$60.14 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier22 claims128 services$24.96 avg. paid by Medicare

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

1 supplier11 claims115 services$21.68 avg. paid by Medicare

Negative pressure wound therapy electrical pump, stationary or portable E2402

DME-Other DME · category DE000N

1 supplier15 claims15 services$543.19 avg. paid by Medicare

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier16 claims16 services$74.52 avg. paid by Medicare

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$128.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Erik Sims's NPI number?

The NPI number for Erik Sims is 1831399252. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Erik Sims located?

Erik Sims practices at 5 Eastdale Ave S Ste 203, Poughkeepsie, NY 12603. The listed phone number is (845) 471-2243.

What is Erik Sims's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Erik Sims enrolled in Medicare?

Yes. Erik 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 Erik Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Sims reassigns Medicare benefits to Lewis J Sims DPM P.C. (Poughkeepsie, NY). 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 Erik Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Erik Sims affiliated with any hospitals?

According to CMS data, Erik Sims is affiliated with Vassar Brothers Medical Center and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Erik Sims was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.