W Bryan Sims, DNP
NPI 1700822780ActiveIndividual· Nurse Practitioner, Family· Bandera, TX
Nurse Practitioner, Family (DNP) with Medcare Associates PA, practicing in Bandera, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,089,456 for 11,232 claims, against $79,440 paid for services in 2024. Abbvie Inc. was the largest of 19 companies reporting payments in 2025, $2,217 in all, mostly food and beverage. Lists Peterson Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1700822780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Oct 18, 2025 |
| Certified by provider | Oct 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP111026 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 412 |
|---|---|
| Services billed | 1,512 across 37 procedure codes |
| Paid by Medicare | $79,440 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,232 · 24,823 30-day fills |
|---|---|
| Patients | 773 |
| Total drug cost | $1,089,456 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Medcare Associates PACastroville, TX · 28 clinicians
Hospital affiliations
- Peterson Regional Medical CenterKerrville, TX
- Uvalde Memorial HospitalUvalde, TX
Other facilities
- Tri County Home HealthHome health agency · Kerrville, TX
Industry payments (Open Payments)
- 2025$2,217 · 109 payments from 19 companies
- 2024$2,212 · 109 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $522.56 | 20 |
| Astrazeneca Pharmaceuticals LP | $372.93 | 49 |
| Amgen Inc. | $236.91 | 9 |
| Stryker Corporation | $146.20 | 2 |
| Axsome Therapeutics, Inc. | $141.80 | 2 |
What the 2025 payments were for
- Food and Beverage$2,217 · 109 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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