Dr. Michelle G Sims , MD
Ophthalmology โข Wheaton, IL
2015 N Main St
Wheaton, IL 601873190
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 14, 2005; this date does not establish years in practice.
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Published CMS data list 1,509 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92014 โ Established patient complete exam of visual system: 628 service units.
- 92136 โ Measurement of corneal curvature and depth of eye: 240 service units.
- 66984 โ Removal of cataract with insertion of prosthetic lens: 232 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 874 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisolone Acetate โ 365 prescription fills, including refills.
- Moxifloxacin (Moxifloxacin Hcl) โ 291 prescription fills, including refills.
- Restasis (Cyclosporine) โ 58 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Ophthalmology in Wheaton, IL (2024, 12 clinicians with data). Median for this group: 3,095. Middle half: 1,691 to 3,934.
Fewer Medicare Part B services than 60% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,398 in 2020 to 1,509 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2015 N Main St
Wheaton, IL 601873190
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Wheaton Eye Clinic Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Medical College Of Georgia School Of Medicine
1991
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
769 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $280,694 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $208,089 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
996 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$80,210 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $63.53 across 3 records.
By nature of payment
- Food and Beverage: $63.53 across 3 records.
Reporting-company totals
- ABBVIE INC.: $43.62 across 2 records.
- Alcon Vision LLC: $19.91 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
35 years (graduated 1991)
CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sims has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sims as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Wheaton and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Ophthalmology in Wheaton, IL (2024, 12 clinicians with data). Median for this group: 3,095. Middle half: 1,691 to 3,934.
Fewer Medicare Part B services than 60% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Ophthalmology in Wheaton, IL (2024, 12 clinicians with data). Median for this group: $354,967. Middle half: $257,902 to $515,512.
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $217,562. Middle half: $82,211 to $445,105.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Ophthalmology in Wheaton, IL (2024, 12 clinicians with data). Median for this group: $240,202. Middle half: $188,453 to $354,544.
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $156,041. Middle half: $58,651 to $322,257.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Ophthalmology in Wheaton, IL (2024, 14 clinicians with data). Median for this group: 883. Middle half: 624 to 1,293.
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: 891. Middle half: 294 to 1,971.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Ophthalmology in Wheaton, IL (2024, 14 clinicians with data). Median for this group: $76,371. Middle half: $38,021 to $95,898.
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: $71,776. Middle half: $10,407 to $185,387.
21 active clinicians are listed under Ophthalmology with a practice address in Wheaton, IL (898 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Wheaton
0% of these 21 clinicians have the CMS telehealth indicator.
57.1% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 1,398 in 2020 and 1,509 in 2024.
- 2020: 1,398
- 2021: 1,749
- 2022: 1,772
- 2023: 1,745
- 2024: 1,509
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $270,689 in 2020 and $280,694 in 2024.
- 2020: $270,689
- 2021: $324,747
- 2022: $337,248
- 2023: $324,308
- 2024: $280,694
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Paid by Medicare
Paid by Medicare stayed about the same: $197,593 in 2020 and $208,089 in 2024.
- 2020: $197,593
- 2021: $238,784
- 2022: $244,851
- 2023: $241,574
- 2024: $208,089
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 78% from 490 in 2020 to 874 in 2024.
- 2020: 490
- 2021: 646
- 2022: 778
- 2023: 805
- 2024: 874
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30-day fills
30-day fills increased 62% from 615 in 2020 to 996 in 2024.
- 2020: 615
- 2021: 828
- 2022: 1,022
- 2023: 899
- 2024: 996
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Part D drug cost
Part D drug cost decreased 31% from $115,781 in 2020 to $80,210 in 2024.
- 2020: $115,781
- 2021: $130,781
- 2022: $129,960
- 2023: $98,092
- 2024: $80,210
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $42.79 in 2019 to $63.53 in 2025.
- 2019: $42.79
- 2021: $133.90
- 2023: $436.92
- 2024: $1,372.35
- 2025: $63.53
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $63.53.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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OZURDEX | General | $22.27 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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OZURDEX | General | $21.35 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Clareon | General | $19.91 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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628 | 617 | $134.45 | $131.49 |
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92136
Measurement of corneal curvature and depth of eye
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240 | 126 | $58.17 | $40.41 |
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66984
Removal of cataract with insertion of prosthetic lens
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232 | 128 | $575.97 | $539.93 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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61 | 54 | $97.20 | $96.13 |
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92004
New patient complete exam of visual system
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54 | 54 | $159.15 | $155.57 |
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92133
Imaging of optic nerve
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54 | 54 | $39.55 | $36.12 |
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68761
Closure of tear duct opening using plug
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49 | 21 | $288.37 | $211.37 |
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66821
Removal of recurring cataract in lens capsule using a laser
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44 | 37 | $357.73 | $327.60 |
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92083
Exam of visual field with extended testing
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44 | 44 | $67.52 | $66.71 |
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92134
Imaging of retina
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43 | 42 | $43.53 | $40.76 |
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66821
Removal of recurring cataract in lens capsule using a laser
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39 | 33 | $357.73 | $352.56 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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21 | 21 | $178.93 | $177.70 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisolone Acetate | Prednisolone Acetate | 365 | 10,446 | $9,769.96 | 215 |
| Moxifloxacin | Moxifloxacin Hcl | 291 | 4,063 | $5,027.15 | 197 |
| Restasis | Cyclosporine | 58 | 2,685 | $54,597.50 | 20 |
| Erythromycin | Erythromycin Base | 45 | 537 | $503.87 | 20 |
| Cyclosporine | Cyclosporine | 31 | 1,170 | $6,889.27 | โ |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 26 | 983 | $1,246.41 | 18 |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 21 | 378 | $258.94 | 20 |
| Tobramycin | Tobramycin | 14 | 333 | $61.63 | 11 |
| Bromfenac Sodium | Bromfenac Sodium | 12 | 355 | $1,756.99 | โ |
| Latanoprost | Latanoprost | 11 | 927 | $98.60 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-27NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20100415000973
IL
6204927791
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Wheaton Eye Clinic Ltd
2015 N Main St, Wheaton, IL 601873152
Phone: 6306688250
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Ophthalmology - Retina Specialist
Doctor of Medicine (M.D.)
Ophthalmology - Glaucoma Specialist
Doctor of Medicine (M.D.)
Ophthalmology - Retina Specialist
Doctor of Medicine (M.D.)
Ophthalmology - Neuro-ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology - Neuro-ophthalmology
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2015 N MAIN ST, WHEATON, IL 601873190 (Tel: 6306688250)
Registered at 2015 N MAIN ST, WHEATON, IL 601873190 (Tel: 6306688250)
Recorded as MICHELLE SIMS, MD
NPI status registered as active in NPPES database
Registered at 2015 N MAIN ST, WHEATON, IL 601873152 (Tel: 6306688250)
Registered at 2015 N MAIN ST, WHEATON, IL 601873152 (Tel: 6306688250)
Recorded as MICHELLE SIMS, M.D.
Ophthalmology (license number reported to NPPES: IL 036-100130)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Wheaton
- Dr. Charles Sandor, MD
- Dr. Thomas Michelson, MD
- Dr. Bradley Sacher, MD
- Dr. Mary Mehaffey, MD
- Dr. David Gieser, MD
- Joel Kovoor
Mailing Address
2015 N Main St
Wheaton, IL 601873190
Phone: 6306688250