DR. SAMUEL SIM (MD) – Gastroenterology Physician, NPI 1275633844
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
475 GASTROENTEROLOGY in WA
Provider Addresses for DR. SAMUEL SIM (MD)
2415 NE 134TH STREET
SUITE 205
VANCOUVER, WA 98686
Phone: (360) 576-5060
Fax: (360) 576-1133
Type: Mailing
3250 SE 164TH AVE STE 205
VANCOUVER, WA 986839313
Phone: (360) 946-4313
Type: Mailing
1 MEDICAL PARK BLVD
BRISTOL, TN 376207430
Phone: (423) 844-1121
Type: Location
3304 Cooley Ct
Portage, MI 490247430
Phone: (269) 349-2266
Type: Location
1390 W 16th St
Yuma, AZ 853644430
Phone: (928) 344-4325
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
221 Mahalani St
Wailuku, HI 967932526
Phone: (808) 224-9056
Type: Location
320 Sunnyview Ln
Kalispell, MT 599013129
Phone: (406) 752-7441
Fax: (406) 257-0304
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $3,109.
Total Amount is formed as General ($3,109) + Research ($0) + Ownership ($0) = $3,109.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($891).
Total Amount
$3,109
General + Research + Ownership
Payments
84
Total payment records
General Amount
$3,109
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 |
|---|---|
| ABBVIE INC. | $891 |
| Celgene Corporation | $442 |
| Janssen Biotech, Inc. | $393 |
| Takeda Pharmaceuticals U.S.A., Inc. | $332 |
| Lilly USA, LLC | $188 |
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: 2025-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20090303000112 | I | Gastroenterology | WA | TBD |
| I20220606002988 | I | Gastroenterology | HI | TBD |
| I20240306001723 | I | Gastroenterology | TN | TBD |
| I20240523001407 | I | Gastroenterology | MI | TBD |
| I20250805002599 | I | Gastroenterology | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 14 | 14 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98686)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | WA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| General Surgery | NE | |
| Family Practice | WY | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| G A S T R O E N T E R O L O G Y | GA |
Reviews
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