Active NPI 1518104181 Individual Practitioner Female Practitioner

Dori Kay Sims , PA

Physician Assistant • Groesbeck, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dori Sims, PA is a certified Physician Assistant practicing in Groesbeck, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Dori Sims delivers high-quality medical care to the local community at 204 W TRINITY ST.

Dori Sims is affiliated with Providence Health Alliance and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

204 W Trinity St

Groesbeck, TX 766421324

Telephone 2547293740

Associated Practice Facility / Clinic

🏢 Jeffrey D Rettig Do Pa Facility NPI 1063680619

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Groesbeck, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -11.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Groesbeck, TX (11140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sims (18 Years) 18 Yrs

Groesbeck Specialty Average (29.5 Years) 29.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	306	260	$212.55	$73.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	141	$313.23	$104.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$422.28	$147.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$478.83	$122.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$313.98	$84.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	303	$212.55	$73.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	128	$313.23	$103.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$313.98	$91.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$478.83	$126.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$422.28	$146.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$212.55	$74.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	54	$135.00	$61.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	54	$178.00	$90.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	15	$66.67	$12.07

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	266	125	$178.00	$88.99
99213 Established patient office or other outpatient visit, typically 15 minutes	151	83	$135.00	$60.30
G0008 Administration of influenza virus vaccine	40	39	$45.00	$15.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	36	$57.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$135.00	$94.77
G0444 Annual depression screening, 5 to 15 minutes	21	21	$56.00	$14.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	15	$22.00	$13.59

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	138	88	$203.36	$70.48
99213 Established patient office or other outpatient visit, typically 15 minutes	88	60	$147.52	$47.04
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	31	31	$50.00	$20.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$154.84	$93.74
G0444 Annual depression screening, 5 to 15 minutes	24	24	$56.00	$11.33
G0008 Administration of influenza virus vaccine	21	21	$45.00	$19.51
90662 Influenza vaccine split virus, preservative free	17	17	$160.00	$52.30
36415 Insertion of needle into vein for collection of blood sample	13	13	$26.00	$2.94

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	51	45	$303.00	$87.50
36415 Insertion of needle into vein for collection of blood sample	37	34	$26.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$193.00	$59.47
G0008 Administration of influenza virus vaccine	13	13	$35.00	$23.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$340.00	$93.92
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	11	11	$34.00	$11.80

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Providence Health Alliance

601 W Hwy 6, Waco, TX 767105592

Phone: 2547767744

Providence Health Alliance

340 Richland W Cir, Waco, TX 767127919

Phone: 2545376050

Providence Health Alliance

301 Richland W Cir, Waco, TX 767127932

Phone: 2545376200

Providence Health Alliance

601 W State Hwy 6 101, Waco, TX 767105592

Phone: 2547725454

Providence Health Alliance

342 Richland W Cir, Waco, TX 767127919

Phone: 2545376600

Providence Health Alliance

601 W Hwy 6 109, Waco, TX 767105592

Phone: 2547519836

Providence Health Alliance

601 W State Hwy 6 105, Waco, TX 767105592

Phone: 2547416113

Practice Associates & Co-Workers

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

5 Associated Practitioners

Amy Silar , FNP

Nurse Practitioner - Family

NPI 1407424781

Family Nurse Practitioner

Dr. Jeffrey Rettig , DO

Family Medicine

NPI 1528005550

Doctor of Osteopathic Medicine (D.O.)

Wendi Barham

Technician, Other

NPI 1538412978

Dr. Christian Jacobsen , MD

Family Medicine

NPI 1619618592

Doctor of Medicine (M.D.)

Karen Johnson

Technician, Other

NPI 1700139136

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2009

Registered at 204 W TRINITY ST, GROESBECK, TX 766421324 (Tel: 2547293740)

📍

Updated Business Mailing Address January 19, 2009

Registered at 204 W TRINITY ST, GROESBECK, TX 766421324 (Tel: 2547293740)

👤

Provider Name / Credentials Updated January 19, 2009

Recorded as DORI SIMS, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2009

Physician Assistant

🟢

Initial NPI Registration & Enumeration January 19, 2009

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: 1518104181

Entity Type:

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

Enumeration Date: January 19, 2009

Last Update: January 19, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

204 W Trinity St

Groesbeck, TX 766421324

Phone: 2547293740

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.