Jason R. Sims, DO
Opted out of Medicare from September 2026 to September 2028. Family Medicine (DO) in Golden, Colorado, licensed in CO, with an NPI issued in July 2006. Their prescriptions cost Medicare Part D more than their services did: $210,782 for 3,398 claims, against $55,623 paid for services in 2024. Pfizer Inc. was the largest of 5 companies reporting payments in 2025, $178.98 in all, mostly food and beverage. Lists Intermountain Health Lutheran Hospital as a hospital affiliation.
Overview
| NPI | 1396777223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Jan 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DR.0039834 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 4, 2026 – Sep 4, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 308 |
|---|---|
| Services billed | 1,022 across 65 procedure codes |
| Paid by Medicare | $55,623 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,398 · 7,475 30-day fills |
|---|---|
| Patients | 730 |
| Total drug cost | $210,782 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Family Practice |
Hospital affiliation
- Intermountain Health Lutheran HospitalWheat Ridge, CO
Other facilities
- Mount Evans Home Health Care & HospiceHome health agency · Evergreen, CO
Industry payments (Open Payments)
- 2025$178.98 · 9 payments from 5 companies
- 2024$129.28 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $47.55 | 2 |
| Hologic Sales and Service, LLC | $44.87 | 2 |
| Glaxosmithkline, LLC. | $41.36 | 2 |
| Abbvie Inc. | $28.79 | 2 |
| Lilly USA, LLC | $16.41 | 1 |
What the 2025 payments were for
- Food and Beverage$178.98 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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