Triana Mae Sims
Physician Assistant โข Austin, TX
1500 Red River St
Austin, TX 787011918
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 November 15, 2021; this date does not establish years in practice.
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Published CMS data list 357 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:
- 99308 โ Subsequent nursing facility care with straightforward level of medical decision making, per day: 65 service units.
- 97610 โ Therapy procedure using ultrasound: 61 service units.
- 99348 โ Residence visit for established patient with low level of medical decision making, per day: 61 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 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 23 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Tramadol Hcl โ 12 prescription fills, including refills.
- Meloxicam โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
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 27 in 2022 to 357 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
1500 Red River St
Austin, TX 787011918
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: Seton Family Of Doctors. 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
2021
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
80 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 $43,762 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 $34,189 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
26 standardized 30-day fills in 2023
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
$71 in 2023
The total cost of these prescriptions in 2023, 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, 2023.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $158.69 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 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
2021
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)
Triana 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 Triana 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 Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $15,429. Middle half: $6,251 to $34,330.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $10,844. Middle half: $4,337 to $25,803.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Triana Sims are from 2023.
607 active clinicians are listed under Physician Assistant with a practice address in Austin, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
15.7% of these 607 clinicians have the CMS telehealth indicator.
47.6% of these 607 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 increased 1222% from 27 in 2022 to 357 in 2024.
- 2022: 27
- 2023: 409
- 2024: 357
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Medicare-allowed amount
Medicare-allowed amount increased 861% from $4,552 in 2022 to $43,762 in 2024.
- 2022: $4,552
- 2023: $69,137
- 2024: $43,762
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Paid by Medicare
Paid by Medicare increased 842% from $3,628 in 2022 to $34,189 in 2024.
- 2022: $3,628
- 2023: $55,085
- 2024: $34,189
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 84% from 146 in 2022 to 23 in 2023.
- 2022: 146
- 2023: 23
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30-day fills
30-day fills decreased 84% from 159 in 2022 to 26 in 2023.
- 2022: 159
- 2023: 26
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Part D drug cost
Part D drug cost went from $847 in 2022 to $71 in 2023.
- 2022: $847
- 2023: $71
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $247.97 in 2022 to $158.69 in 2025.
- 2022: $247.97
- 2023: $233.79
- 2024: $87.85
- 2025: $158.69
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), 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 $158.69.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| BIOTISSUE HOLDINGS INC. |
Food and Beverage
In-kind items and services
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โ | General | $158.69 |
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 2021โ2023 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, 2022โ2024; 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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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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65 | 29 | $350.00 | $60.38 |
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97610
Therapy procedure using ultrasound
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61 | 13 | $620.00 | $367.92 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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61 | 20 | $129.34 | $62.71 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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57 | 15 | $200.00 | $103.80 |
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99307
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
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36 | 24 | $320.00 | $32.74 |
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99304
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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24 | 24 | $200.00 | $65.82 |
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99347
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
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19 | 13 | $90.00 | $37.06 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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12 | 12 | $350.00 | $107.94 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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11 | 11 | $380.00 | $147.88 |
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99344
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes
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11 | 11 | $280.00 | $115.23 |
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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 12 | 60 | $44.87 | โ |
| Meloxicam | Meloxicam | 11 | 420 | $26.49 | โ |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-11-05NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20220318000071
TX
1557756186
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
Seton Family Of Doctors
1500 Red River St, Austin, TX 787011918
Phone: 5123247000
Seton Family Of Doctors
1601 Trinity St, Austin, TX 787121865
Phone: 5123244373
Seton Family Of Doctors
1400 N Ih 35, Austin, TX 787011926
Seton Family Of Doctors
1400 N Ih 35 Ll, Austin, TX 787011926
Phone: 5123247300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Plastic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery - Surgery of the Hand
Doctor of Medicine (M.D.)
Plastic Surgery - Surgery of the Hand
Doctor of Medicine (M.D.)
Surgery - Plastic and Reconstructive Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1500 RED RIVER ST, AUSTIN, TX 787011918 (Tel: 5123248320)
Registered at 543 GREAT LAWN BND, LIBERTY HILL, TX 786422465 (Tel: 8057668885)
Recorded as TRIANA SIMS
Physician Assistant (license number reported to NPPES: TX PA15493)
Physician Assistant
Registered at 4215 BENNER STE 300, KYLE, TX 786402224 (Tel: 5124391000)
Registered at 4700 SETON CENTER PKWY STE 200, AUSTIN, TX 787594107 (Tel: 5124391000)
NPI status registered as active in NPPES database
Registered at 32923 BROOKSEED DR, TRABUCO CANYON, CA 926794318 (Tel: 8057668885)
Registered at 32923 BROOKSEED DR, TRABUCO CANYON, CA 926794318 (Tel: 8057668885)
Recorded as TRIANA LEAL
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Austin
- Andie Moczygemba, PA-C
- Meghan Basso, PA-C
- Lauren Macha, PA
- Mary Grace Powell, PA-C
- Maha Khrais
- Allison Orlich, PA-C
Mailing Address
543 Great Lawn Bnd
Liberty Hill, TX 786422465
Phone: 8057668885