2026 NPPES data Gastroenterology Physician NPI 1932103504 M.D.
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MARK SIMS, M.D.

Gastroenterology Physician in ATLANTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
99
Medicare Part D claims · 50 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

MARK SIMS, M.D. reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 99 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
99
Part D claims, 2023
75%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MARK SIMS, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 42% higher than 58% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MARK SIMS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MARK SIMS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/10/2005

NPI 1932103504

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

99 88% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Georgia

Medicare quality performance — MIPS

MARK SIMS, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Gastroenterology Physician) — 89.8928/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARK SIMS, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 95 COLLIER RD NW, ATLANTA, GA, 30309, with a listed phone of (404) 355-3200. NPI 1932103504 was issued on 06/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 99 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $50K in drug spend, split 25% brand-name and 75% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.8928/100 for the 2023 performance year (Quality 79.7855), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

95 COLLIER RD NW
ATLANTA, GA 30309

Provider Details

NPI 1932103504
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 06/10/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Above average

MARK SIMS, M.D. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 99 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

99
Total Claims
$50K
Total Drug Cost
50
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
165
Total Day Supply
4,857
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$46K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.63
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Pantoprazole Sodium
34
Creon
Lipase/Protease/Amylase
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How MARK SIMS, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

MARK SIMS, M.D.'s 99 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as SIMS.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK SIMS, M.D.'s specialty?
MARK SIMS, M.D. specializes in Gastroenterology Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does MARK SIMS, M.D. prescribe under Medicare Part D?
In 2023, MARK SIMS, M.D. wrote 99 Medicare Part D claims totaling $50K in drug costs for 50 beneficiaries.
What is MARK SIMS, M.D.'s Medicare quality score?
MARK SIMS, M.D. has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK SIMS, M.D. located?
MARK SIMS, M.D. is located at 95 COLLIER RD NW, ATLANTA, GA, 30309. Phone: (404) 355-3200.
What is MARK SIMS, M.D.'s NPI number?
MARK SIMS, M.D.'s National Provider Identifier (NPI) is 1932103504, issued on 06/10/2005.
Does MARK SIMS, M.D. prescribe more brand-name or generic drugs?
MARK SIMS, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $46K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does MARK SIMS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK SIMS, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Creon. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK SIMS, M.D. accept Medicare?
MARK SIMS, M.D. appears in CMS Medicare data with 99 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK SIMS, M.D.'s credentials?
MARK SIMS, M.D.'s NPI is 1932103504 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology