Active NPI 1396906244 Individual Practitioner Female Practitioner

Dr. Stephanie Michelle Sims , MD

Surgery • Virginia Beach, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Sims, MD is a certified Surgery practicing in Virginia Beach, VA. With approximately 18 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2008, Dr. Sims delivers high-quality medical care to the local community at 1120 FIRST COLONIAL RD STE 203.

Dr. Sims is affiliated with Bayview Physician Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit, 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

1120 First Colonial Rd Ste 203

Virginia Beach, VA 234542418

Telephone 7574814424

Fax 7574813820

Associated Practice Facility / Clinic

🏢 Coastal Surgical Specialists, Pc Facility NPI 1740345149

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Virginia Beach, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

25 Specialists

Practicing in Virginia Beach, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sims (18 Years) 18 Yrs

Virginia Beach Specialty Average (22.9 Years) 22.9 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	184	126	$40.00	$15.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$433.63	$209.45
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$159.50	$87.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$362.91	$157.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$235.00	$121.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$316.78	$174.48
49650 Repair of groin hernia using an endoscope	18	18	$1700.00	$413.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$362.00	$165.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$107.00	$54.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	70	70	$369.00	$211.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	53	$135.00	$77.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$259.00	$168.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$362.00	$169.09
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$132.00	$88.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$193.00	$124.99
47562 Removal of gallbladder using an endoscope	12	12	$1216.00	$635.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	84	$135.00	$69.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	42	$330.00	$195.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$245.00	$167.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$305.00	$219.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$215.00	$179.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$160.00	$127.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$180.00	$100.74
49650 Repair of groin hernia using an endoscope	11	11	$2318.18	$396.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	98	$135.00	$71.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$245.00	$168.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$330.00	$199.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$160.00	$130.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$215.00	$182.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	16	$180.00	$102.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$230.00	$135.14
47562 Removal of gallbladder using an endoscope	16	16	$1200.00	$604.16
49650 Repair of groin hernia using an endoscope	15	15	$1926.67	$359.30
49652 Repair of hernia using an endoscope	13	13	$1550.00	$757.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	72	$135.00	$72.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$309.92	$202.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$330.00	$203.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$215.00	$140.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$160.00	$109.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$245.00	$164.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	68	$135.00	$72.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$309.88	$196.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$330.00	$200.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$215.00	$144.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$245.00	$162.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$160.00	$107.46
49650 Repair of groin hernia using an endoscope	12	12	$1841.67	$371.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	87	$135.00	$72.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$330.00	$201.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$305.00	$205.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$245.00	$163.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$160.00	$103.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	21	$180.00	$103.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$215.00	$143.96
49650 Repair of groin hernia using an endoscope	11	11	$1700.00	$412.18

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101263400

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 46874

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 2016-01667

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1396906244 (NC)

Medicaid State Provider ID

NC2890 (SC)

Hospital & Practice Group Affiliations

Bayview Physician Services Pc

1120 1st Colonial Rd, Virginia Beach, VA 234542418

Phone: 7574814424

Secondary Practice Locations

300 Medical Pkwy Ste 106

Chesapeake, VA 233204985

Phone: 7574100101

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Juan Gelpi , MD

Specialist

NPI 1134168370

Doctor of Medicine (M.D.)

Dr. Basil Skenderis , MD

Specialist

NPI 1164477469

Doctor of Medicine (M.D.)

Dr. Sarah Lucente , DO

Surgery

NPI 1164985255

Doctor of Osteopathic Medicine (D.O.)

Dr. Kirk Heath , MD

Surgery

NPI 1184838286

Doctor of Medicine (M.D.)

Dr. Jeffrey Berger , MD

Specialist

NPI 1235178955

Doctor of Medicine (M.D.)

Dr. Beryl Brown , MD

Specialist

NPI 1245279033

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #46874 in AZ)

✅

NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2017

Registered at 1120 FIRST COLONIAL RD STE 203, VIRGINIA BEACH, VA 234542418 (Tel: 7574814424)

📍

Updated Business Mailing Address October 05, 2017

Registered at PO BOX 7068, PORTSMOUTH, VA 237070068 (Tel: 7574814424)

👤

Provider Name / Credentials Updated October 05, 2017

Recorded as STEPHANIE SIMS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Surgery (License #46874 in AZ)

📍

Updated Practice Location March 02, 2017

Registered at 1025 MOREHEAD MEDICAL DR, SUITE 300, CHARLOTTE, NC 282042963 (Tel: 7043551813)

📍

Updated Business Mailing Address March 02, 2017

Registered at PO BOX 601372, CHARLOTTE, NC 282601372 (Tel: 7043551813)

✅

NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2016

Registered at 2630 E 7TH ST, CHARLOTTE, NC 282044318 (Tel: 7046310002)

📍

Updated Business Mailing Address December 28, 2016

Registered at 2630 E 7TH ST, CHARLOTTE, NC 282044318 (Tel: 7046310002)

👤

Provider Name / Credentials Updated December 28, 2016

Recorded as STEPHANIE SIMS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Surgery (License #2016-01667 in NC)

🟢

Initial NPI Registration & Enumeration June 24, 2008

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: 1396906244

Entity Type:

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

Enumeration Date: June 24, 2008

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7068

Portsmouth, VA 237070068

Phone: 7574814424

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.