NPPES file of Aug 9, 2026

Matthew D. Sims, MD

Infectious Disease Physician · Royal Oak, MI

Matthew D. Sims, MD is an infectious disease physician with a practice address in Royal Oak, Michigan, and NPI 1205851730, issued on Jul 13, 2006. Check the license (Michigan 4301088222, as entered in NPPES) on the Michigan Board of Medicine (LARA); 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
1205851730
Name
Matthew D. Sims
Credential
MD
Primary taxonomy
Infectious Disease Physician 207RI0200X
License numbers
4301088222 MI
4301088222 NY
Self-reported in NPPES; status is on the state search
Practice location
3535 W 13 Mile RD Ste 605, Royal Oak, MI 48073
Phone
(248) 551-0495
Enumerated
Jul 13, 2006
Record last updated
Oct 22, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20060829000359); accepts Medicare assignment
Medical or professional school
Rush Medical College Of Rush University, 2012
Telehealth
Offers telehealth (CMS)
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 3535 W 13 Mile RD Ste 605

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

  1. Jeffrey BandInfectious Disease Physician1346218575
  2. Christopher CarpenterInfectious Disease Physician1003875600
  3. Carmen Demarco, MDInfectious Disease Physician1790808616
  4. Noora Kazanji, D.O.Infectious Disease Physician1407294507
  5. Carl LauterAllergy & Immunology Physician1861452567
  6. Lea Monday, M.D.Infectious Disease Physician1487017513

Verify Matthew D. Sims in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301088222
    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 Michigan 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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75% fewer Medicare Part D claims than the average infectious disease physician in 2024

170 Medicare Part D claims for 49 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 20% of claims.

  1. Matthew Sims170
  2. Specialty average689

Most prescribed

  1. Vancomycin Hcl34 claims
  2. Sulfamethoxazole-Trimethoprim25 claims
  3. Biktarvy24 claims
  4. Methenamine Hippurate24 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): 81 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 score67.3
  2. Costout of 100 · 30%59.7
  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).

Industry payments in 2024: $328.15

3 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Sims$328.15
  2. Specialty average$4,362.19

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Beaumont Medical Group- Specialty ServicesFarmington Hills, MI

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

Matthew D. Sims among 301 infectious disease physician records in Michigan

Matthew D. Sims, MD is one of 301 infectious disease physician records with a practice address in Michigan. 81% 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 7% of them.

  • NPI issued2006 · 7% of these records are older, 55% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2012 · median 2002 among the 224 with a school on file
  • Record last updated2020 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Infectious Disease Physician providers in Michigan

There are 301 infectious disease physician records in Michigan.

The 8 infectious disease physician records with the nearest ZIP codes

  1. Wael Al Zyud, MDRoyal Oak, MI 480731386568624
  2. Kamran Baig, MD, MPHRoyal Oak, MI 480731295528131
  3. Jeffrey BandRoyal Oak, MI 480731346218575
  4. Christopher CarpenterRoyal Oak, MI 480731003875600
  5. Paul ChittickRoyal Oak, MI 480731578778775
  6. Carmen Demarco, MDRoyal Oak, MI 480731790808616
  7. Noora Kazanji, D.O.Royal Oak, MI 480731407294507
  8. Lea Monday, M.D.Royal Oak, MI 480731487017513

Common questions

What is Matthew D. Sims, MD's NPI number?

Matthew D. Sims, MD's National Provider Identifier (NPI) is 1205851730, issued on Jul 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Matthew D. Sims, MD located?

The NPPES record lists a practice address at 3535 W 13 Mile RD Ste 605, Royal Oak, MI, 48073. Phone: (248) 551-0495. Providers update this record themselves, so call before visiting.

How can I verify Matthew D. Sims, MD's license?

NPPES lists Michigan license number 4301088222, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew D. Sims, MD prescribe under Medicare Part D?

In 2024, Matthew D. Sims, MD had 170 Medicare Part D claims for 49 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.

What is Matthew D. Sims, MD's MIPS final score?

The 2023 MIPS final score is 81 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.