NPPES file of Aug 9, 2026

Herbert Steven Sims, M.D.

Otolaryngology Physician · Chicago, IL

Herbert Steven Sims, M.D. is an otolaryngology physician with a practice address in Chicago, Illinois, and NPI 1295748499, issued on Aug 15, 2006. Check the license (Illinois 036-110358, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295748499
Name
Herbert Steven Sims
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
036-110358 IL
Self-reported in NPPES; status is on the state search
Practice location
1740 W Taylor St, Chicago, IL 60612
Phone
(866) 600-2273
Enumerated
Aug 15, 2006
Record last updated
Apr 20, 2009 (not updated in 17 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20040327000096); accepts Medicare assignment
Medical or professional school
Yale University School Of Medicine, 1994
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1740 W Taylor St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Francisco AbancoCertified Registered Nurse Anesthetist1255844288
  2. Leena Abbas, MDStudent in an Organized Health Care Education/Training Program1679376594
  3. Herand AbcarianColon & Rectal Surgery Physician1881792372
  4. Ivy AbrahamHematology & Oncology Physician1497172845
  5. Rohit Abraham, MD, MPH, MATPsychiatry Physician1013478932
  6. Ereni Abuaita, DOInternal Medicine Physician1013710961

Verify Herbert Steven Sims in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036-110358
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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81% fewer Medicare Part D claims than the average otolaryngology physician in 2024

105 Medicare Part D claims for 41 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Herbert Sims105
  2. Specialty average541

Most prescribed

  1. Famotidine30 claims
  2. Esomeprazole Magnesium14 claims
  3. Fluticasone Propionate14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 87.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.8
  2. Costout of 100 · 30%52.8
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Rush University Medical GroupChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Herbert Steven Sims among 482 otolaryngology physician records in Illinois

Herbert Steven Sims, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 56% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1994 · median 2005 among the 290 with a school on file
  • Record last updated2009 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Illinois

There are 482 otolaryngology physician records in Illinois.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Sukhpreet Batra, M.D.Chicago, IL 606121780648998
  2. David Caldarelli, MDChicago, IL 606121285767020
  3. Stephanie Joe, M.D.Chicago, IL 606121477564490
  4. Paul Jones, M.D.Chicago, IL 606121417956509
  5. Phillip LosavioChicago, IL 606121124232137
  6. Sarah McDonald, MDChicago, IL 606121376573477
  7. Thomas Nielsen, M.D.Chicago, IL 606121235138546
  8. William Panje, MDChicago, IL 606121174523591

Common questions

What is Herbert Steven Sims, M.D.'s NPI number?

Herbert Steven Sims, M.D.'s National Provider Identifier (NPI) is 1295748499, issued on Aug 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Herbert Steven Sims, M.D. located?

The NPPES record lists a practice address at 1740 W Taylor St, Chicago, IL, 60612. Phone: (866) 600-2273. Providers update this record themselves, so call before visiting.

How can I verify Herbert Steven Sims, M.D.'s license?

NPPES lists Illinois license number 036-110358, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Herbert Steven Sims, M.D. prescribe under Medicare Part D?

In 2024, Herbert Steven Sims, M.D. had 105 Medicare Part D claims for 41 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Herbert Steven Sims, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.