DR. MARION HENRY SIMS MD
NPI 1942216817
Family Medicine in Birmingham, AL

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
2152 OLD SPRINGVILLE ROAD, BIRMINGHAM, AL 35215(205) 838-6000(205) 838-6078 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Marion Henry Sims Md NPPES

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

DR. MARION HENRY SIMS MD (NPI 1942216817) is an individual family medicine provider in Birmingham, Alabama, licensed in Alabama (10038) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1980).

NPPES Registry Identity

NPI1942216817
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARION HENRY SIMSCredential: MD
Location Address2152 OLD SPRINGVILLE ROADBirmingham, AL 35215-4005
Mailing Address2152 Old Springville RoadBirmingham, AL 35215-4005 · (205) 838-6000 · Fax (205) 838-6078
Fax(205) 838-6078
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942216817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 10038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2152 OLD SPRINGVILLE ROAD, Birmingham, AL 35215

Other Identifiers 2

Medicare UPINC72803
Medicare ID-Type Unspecified11922AL

Accepted 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

Dr. Marion Henry Sims Md 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 ID4981883865
PECOS Enrollment IDI20110125000062
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 Marion Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2152 OLD SPRINGVILLE RD
Center Point, AL 35215
  • Reassigned Medicare billing, Alabama enrollment
  • 37 clinicians in this Medicare group

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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35215 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims16 services$54.57 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims16 services$21.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215

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 Marion Sims's NPI number?

The NPI number for Marion Sims is 1942216817. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Marion Sims located?

Marion Sims practices at 2152 Old Springville Road, Birmingham, AL 35215. The listed phone number is (205) 838-6000.

What is Marion Sims's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marion Sims enrolled in Medicare?

Yes. Marion 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 Marion Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marion Sims reassigns Medicare benefits to Christ Health Center Inc (Center Point, AL). 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 Marion Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marion Sims accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Marion 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.

When was this NPI record last updated?

The NPPES record for Marion Sims was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.