Active NPI 1669863544 Individual Practitioner Female Practitioner

Whitney A Sims , PA-C

Physician Assistant - Surgical • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Whitney Sims, PA-C is a certified Physician Assistant - Surgical practicing in Lima, OH. With approximately 12 years of clinical experience since completing medical education in 2014, Whitney Sims delivers high-quality medical care to the local community at 801 MEDICAL DR.

Whitney Sims is affiliated with Specialty Physicians Of Blanchard Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Medical Dr
Suite A

Lima, OH 458044031

Telephone 4192226622

Fax 4192240015

Associated Practice Facility / Clinic

🏢 West Central Ohio Group Ltd. Facility NPI 1952385221

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -1.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

34 Specialists

Practicing in Lima, OH (403 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sims (12 Years) 12 Yrs

Lima Specialty Average (13.5 Years) 13.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	138	$238.00	$101.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$209.00	$89.58
49650 Repair of groin hernia using an endoscope	14	14	$1142.00	$62.51
47562 Removal of gallbladder using an endoscope	11	11	$1496.00	$86.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	160	$238.00	$101.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$209.00	$90.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$133.00	$64.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$336.00	$140.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	175	$183.00	$102.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$183.00	$90.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$125.00	$58.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$245.00	$144.31
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$124.00	$70.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	193	$183.00	$106.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$183.00	$92.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	22	$125.00	$59.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	28	$245.00	$150.52
49650 Repair of groin hernia using an endoscope	17	17	$1182.71	$63.27
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$210.09	$106.32
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$124.00	$75.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	78	$124.00	$62.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	71	$183.00	$89.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	21	$125.00	$61.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$183.00	$85.48
99442 Telephone medical discussion with physician, 11-20 minutes	30	25	$62.00	$61.90
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$126.00	$63.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$245.00	$121.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	61	$183.64	$88.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$187.55	$83.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	157	$157.00	$58.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$232.00	$88.21
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$161.00	$56.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$93.00	$35.66
27447 Replacement of knee joint, both sides of knee	15	15	$601.00	$182.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$233.00	$88.16
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$215.33	$84.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	124	$157.00	$57.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	60	$232.00	$85.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$233.00	$86.18
27447 Replacement of knee joint, both sides of knee	23	23	$608.48	$178.43

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50.004266

Definition to come...

Hospital & Practice Group Affiliations

Specialty Physicians Of Blanchard Valley Llc

1900 S Main St, Findlay, OH 458401214

Specialty Physicians Of Blanchard Valley Llc

300 W Wallace St, Findlay, OH 458401244

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Logan Rieman , CNP

Nurse Practitioner - Family

NPI 1003446170

Certified Nurse Practitioner

Bailey Nelson

Physician Assistant

NPI 1003685405

Dr. Mark Mcdonald , MD

Orthopaedic Surgery

NPI 1003896333

Doctor of Medicine (M.D.)

Dr. Kyle Shroll , PT, DPT

Physical Therapist

NPI 1013424597

Physical Therapist, Doctor of Physical Therapy

Dr. Sean Logan , MD

Neurological Surgery

NPI 1023124377

Doctor of Medicine (M.D.)

Tanner Stippich

Physician Assistant

NPI 1053924415

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2016

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

📍

Updated Business Mailing Address August 10, 2016

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

👤

Provider Name / Credentials Updated August 10, 2016

Recorded as WHITNEY SIMS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Physician Assistant (License #50.004266 in OH)

🟢

Initial NPI Registration & Enumeration February 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669863544

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 12, 2015

Last Update: August 10, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Medical Dr, Suite A

Lima, OH 458044031

Phone: 4192226622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.