Active NPI 1073519203 Individual Practitioner Male Practitioner

Dr. William Louis Sims , MD

Surgery • Hobart, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Sims, MD is a certified Surgery practicing in Hobart, OK. With approximately 37 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1989, Dr. Sims delivers high-quality medical care to the local community at 407 W FOREST LN.

Dr. Sims is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include diagnostic exam of large bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 W Forest Ln

Hobart, OK 736511645

Telephone 5807265673

Fax 5807262416

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hobart, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Hobart, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sims (37 Years) 37 Yrs

Hobart Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$490.00	$169.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$635.00	$235.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$635.00	$244.39
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$488.62	$169.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$104.00	$71.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$145.00	$98.67
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$448.00	$183.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$604.00	$252.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	46	$104.00	$70.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$147.00	$102.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$145.00	$103.04
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$448.00	$181.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	55	$104.00	$66.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$147.00	$98.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$145.00	$98.50
45378 Diagnostic exam of large bowel using a flexible endoscope	33	32	$448.00	$178.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$604.00	$235.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$77.00	$39.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	66	$106.96	$64.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$154.02	$96.58
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$305.87	$171.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$152.00	$94.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$472.00	$239.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$249.23	$147.70
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$166.15	$85.57
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$252.09	$88.95

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 9800390

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

891132R (NC)

Commercial Insurance / Payer ID Bcbs

1132 (NC)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1915 E Rezanof Dr, Kodiak, AK 996156602

Phone: 9074863281

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Frank Thomas , MD

Surgery

NPI 1134102411

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2016

Registered at 407 W FOREST LN, HOBART, OK 736511645 (Tel: 5807265673)

📍

Updated Business Mailing Address April 12, 2016

Registered at 429 WEST ELM, ELKVIEW GENERAL HOSPITAL, HOBART, OK 736511615 (Tel: 5807261900)

👤

Provider Name / Credentials Updated April 12, 2016

Recorded as WILLIAM SIMS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2016

Surgery (License #9800390 in NC)

🟢

Initial NPI Registration & Enumeration June 22, 2005

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: 1073519203

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: April 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

429 West Elm, Elkview General Hospital

Hobart, OK 736511615

Phone: 5807261900

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.