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DR. MARK A SIMS M.D.
NPI 1932103504
Internal Medicine - Gastroenterology in Atlanta, GA

Active since June 10, 2005PECOS Enrolled
89.89/100
CMS Quality Rating
95 COLLIER RD NW, STE 4085, ATLANTA, GA 30309(404) 355-3200(404) 355-9819 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Sims M.d. NPPES

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

DR. MARK A SIMS M.D. (NPI 1932103504) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (038365) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932103504
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARK A SIMSCredential: M.D.
Location Address95 COLLIER RD NW, STE 4085Atlanta, GA 30309-1750
Mailing Address95 Collier Rd Nw, Ste 4075Atlanta, GA 30309-1751 · (404) 603-3543 · Fax (404) 350-8795
Phone(404) 355-3200
Fax(404) 355-9819
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateOctober 10, 2007
✔ NPI 1932103504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 038365
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
95 COLLIER RD NW, Atlanta, GA 30309
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF81875GA
Medicare ID-Type Unspecified10BBCBHGA
Medicaid00599156AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Sims M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
10%222 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%150 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
61%223 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%255 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%229 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
59%112 patients3/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 20

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

HAROLD D. CARLSON MD
Internal Medicine (Interventional Cardiology)
95 COLLIER RD NW, SUITE 2065
ATLANTA, GA 30309
Fulton County (404) 605-2800
DAVID FRANCIS MELDRUM L.D.O.
Technician/Technologist (Optician)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 351-2220
DR. THOMAS S CLAIBORNE JR. M.D.
Internal Medicine (Gastroenterology)
95 COLLIER RD NW, SUITE 4055
ATLANTA, GA 30309
Fulton County (404) 355-3200
DR. ERIC LOUIS SCEUSI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
95 COLLIER RD NW, SUITE 2055
ATLANTA, GA 30309
Fulton County (404) 605-5699
JENINA PEREZ LAGASCA NP
Nurse Practitioner (Adult Health)
95 COLLIER RD NW, SUITE 5015
ATLANTA, GA 30309
Fulton County (404) 605-5699
IRIS MONTILLA-AFRIYE
Registered Nurse
95 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (646) 228-2601
ARUN KRISHNAMOORTHY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 605-5140
DR. KEVIN MICHAEL MCGILL M.D.
Surgery
95 COLLIER RD NW, SUITE 6015
ATLANTA, GA 30309
Fulton County (404) 351-5959

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 Mark Sims's NPI number?

The NPI number for Mark Sims is 1932103504. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Mark Sims located?

Mark Sims practices at 95 Collier Rd NW Ste 4085, Atlanta, GA 30309. The listed phone number is (404) 355-3200.

What is Mark Sims's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Sims enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Sims was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.