Charles Sims, MD
NPI 1245281294 · Infectious Disease Physician · Shenandoah, TX
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Sims, MD is a Infectious Disease Physician provider in Shenandoah, TX (NPI 1245281294).
Provider details
- NPI number
- 1245281294
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M3390 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
747 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 280 | $64 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 248 | $138 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 89 | $130 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $94 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 23 | $77 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 181 | 59 |
| Cephalexin | 165 | 55 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 133 | 16 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 120 | 42 |
| Doxycycline Hyclate | 104 | 40 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 98 | — |
| Fluconazole | 75 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,316 across 52 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2013-01-08
Frequently asked questions
- What is Charles Sims's NPI number?
- Charles Sims's National Provider Identifier (NPI) is 1245281294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Sims's specialty?
- Charles Sims is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Sims located?
- Charles Sims's practice location on file with NPPES is 101 Vision Park Blvd, Shenandoah, TX 77384-3011.
- What is Charles Sims's phone number?
- The practice phone number listed in the NPPES registry for Charles Sims is (281) 273-5214.
- Does Charles Sims accept Medicare?
- Charles Sims is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Sims's NPI active?
- Yes — Charles Sims's NPI (1245281294) is active in the NPPES registry as of the last update on 2013-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.