Matthew D. Sims, MD
NPI 1205851730ActiveIndividual· Internal Medicine, Infectious Disease· Royal Oak, MI
Internal Medicine, Infectious Disease (MD) in Royal Oak, Michigan, trained at Rush Medical College of Rush University (class of 2012). Their prescriptions cost Medicare Part D more than their services did: $122,393 for 170 claims, against $27,970 paid for services in 2024. Intervascular reported $655.00 in payments in 2025, mostly consulting fees.
Overview
| NPI | 1205851730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 13, 2006 |
| Last updated in NPPES | Oct 22, 2020 |
| Certified by provider | Oct 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 4301088222 | MI |
| Internal Medicine | 207R00000X | 4301088222 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Infectious Disease (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 272 across 12 procedure codes |
| Paid by Medicare | $27,970 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 246 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $122,393 |
| Generic share | 80% of claims |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Infectious Disease |
| Telehealth | Offers telehealth |
Medical group
- Beaumont Medical Group- Specialty ServicesBerkley, MI · 847 clinicians
Hospital affiliations
- Beaumont Hospital Royal OakRoyal Oak, MI
- Beaumont Hospital, TroyTroy, MI
Industry payments (Open Payments)
- 2025$655.00 · 1 payment from 1 company
- 2024$350.34 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intervascular | $655.00 | 1 |
What the 2025 payments were for
- Consulting Fee$655.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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