Dori Sims, P.A.
NPI 1518104181 · Physician Assistant · Groesbeck, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dori Sims, P.A. is a Physician Assistant provider in Groesbeck, TX (NPI 1518104181).
Provider details
- NPI number
- 1518104181
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
549 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 | 306 | $74 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 191 | $104 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 20 | $148 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 | $122 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 15 | $85 |
Typical Medicare-allowed amounts for these services range $74–$148 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 187 | 61 |
| Zolpidem Tartrate | 102 | 40 |
| Ropinirole Hcl | 99 | 30 |
| Trazodone Hcl | 88 | 24 |
| Fluticasone Propionate | 42 | 21 |
| Suvorexantbrand: Belsomra | 39 | 14 |
| Eszopiclone | 34 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$611 across 10 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
- 2009-01-19
- Last updated
- 2009-01-19
Frequently asked questions
- What is Dori Sims's NPI number?
- Dori Sims's National Provider Identifier (NPI) is 1518104181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dori Sims's specialty?
- Dori Sims is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dori Sims located?
- Dori Sims's practice location on file with NPPES is 204 W Trinity St, Groesbeck, TX 76642-1324.
- What is Dori Sims's phone number?
- The practice phone number listed in the NPPES registry for Dori Sims is (254) 729-3740.
- Does Dori Sims accept Medicare?
- Dori Sims is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dori Sims's NPI active?
- Yes — Dori Sims's NPI (1518104181) is active in the NPPES registry as of the last update on 2009-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.