Stephen Justin Sims, MD
NPI 1568453264ActiveIndividual· Family Medicine· Mountain View, CA
Family Medicine (MD) in Mountain View, California, trained at State University of New York Downstate Medical Center (class of 1989). In 2024 Medicare paid $298,626 for 392 patients, and Part D covered 3,776 of their prescriptions, 89% of them generic. Madrigal Pharmaceuticals was the largest of 5 companies reporting payments in 2025, $293.89 in all, mostly food and beverage.
Overview
| NPI | 1568453264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 2, 2005 |
| Last updated in NPPES | Feb 27, 2025 |
| Certified by provider | Feb 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | G69269 | CA |
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) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 392 |
|---|---|
| Services billed | 4,636 across 44 procedure codes |
| Paid by Medicare | $298,626 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,776 · 9,249 30-day fills |
|---|---|
| Patients | 359 |
| Total drug cost | $333,953 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Bass Medical GroupChico, CA · 291 clinicians
Hospital affiliations
- El Camino HealthMountain View, CA
- Good Samaritan HospitalSan Jose, CA
- Stanford Health CareStanford, CA
Other facilities
- In Home Care Group, LLCHome health agency · San Jose, CA
- Sequoia Home HealthHome health agency · Milpitas, CA
- Sutter Care at HomeHome health agency · Saratoga, CA
Industry payments (Open Payments)
- 2025$293.89 · 12 payments from 5 companies
- 2024$252.18 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $92.93 | 4 |
| Novo Nordisk Inc | $75.39 | 3 |
| Seqirus USA Inc | $64.91 | 2 |
| Merck Sharp & Dohme LLC | $34.42 | 2 |
| Amgen Inc. | $26.24 | 1 |
What the 2025 payments were for
- Food and Beverage$293.89 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 69 family medicine physicians in Mountain View · All family medicine physicians in California