DR. SHANNON W. SIMS (MD) – Family Medicine Physician, NPI 1164471439
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GENERAL PRACTICE in TX
Provider Addresses for DR. SHANNON W. SIMS (MD)
572 COLEMAN ST
WAXAHACHIE, TX 751652837
Phone: (972) 923-2440
Fax: (972) 923-2445
Type: Location
BBVA USA, 8080, North Central Expressway, The Village, Dallas, TX, Dallas, Dallas County, Texas, 75026, United States
SUITE 1650
DALLAS, TX 752061838
Phone: (972) 860-8648
Fax: (972) 860-8679
Type: Mailing
4927, Lake Ridge Parkway, High Hawk, Grand Prairie, Tarrant County, Texas, 75052, United States
SUITE 100
GRAND PRAIRIE, TX 75052
Phone: (972) 641-9000
Fax: (972) 641-9002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Novo Nordisk Inc ($121).
Total Amount
$214
General + Research + Ownership
Payments
2
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $121 |
| Astellas Pharma US Inc | $93 |
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: 2025-03-03
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 |
|---|---|---|---|---|
| I20250303001506 | I | General Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Emergency Medicine, Family Practice, Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | WA | |
| Mental Health Counselor | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Marriage And Family Therapist | TX | |
| Nurse Practitioner | TX |
Reviews
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