HUGH M. III SIMS (M.D.) – Specialist, NPI 1801862305
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
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Provider Addresses for HUGH M. III SIMS (M.D.)
ENT Bowling Green, 340, New Towne Drive, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 42103
Phone: (270) 782-7768
Fax: (270) 781-9480
Type: Location
421 US 31W BYP
BOWLING GREEN, KY 421011775
Phone: (270) 782-7768
Fax: (270) 781-9480
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($149).
Total Amount
$195
General + Research + Ownership
Payments
7
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $149 |
| Smith+Nephew, Inc. | $30 |
| Stryker Corporation | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100322000169 | I | Otolaryngology | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 213 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 182 | 182 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 35 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 42103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | KY | 92567 | Eardrum testing using ear probe | 61 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | WI | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | IN |
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