Dr. Brian E. Sims
- Gender: Male
- Experience: 24 years
- Sole propriator: No
- NPI: 1023051554
Dr. Brian E. Sims D.O.
Pediatrician
He is located at 2710 Saint Francis Drive Suite 510 in Waterloo, IA 50702. Can help patients with the following: Developmental Delays, Influenza, Kawasaki Disease, Muscular Dystrophy, Nausea and Vomiting, Speech Disorders. His National Provider Identifier (NPI) number is 1023051554. Appointment can be made via the phone number (319) 272-5000.
Conditions treated
Dr. Brian E. Sims, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Brian E. Sims.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Brian E. Sims as in-network for the following 2026 plans.
Health plans
Medica
Network data as of Jun 2, 2025, as reported by the insurer.
Show all 9 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Medica Insure Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Standardtier | Accepting new patients |
| Medica Insure Bronze Share | EPO · Expanded Bronze | Standardtier | Accepting new patients |
| Medica Insure Expanded Bronze Standard | EPO · Expanded Bronze | Standardtier | Accepting new patients |
| Medica Insure Gold $0 Copay PCP Visits | EPO · Gold | Standardtier | Accepting new patients |
| Medica Insure Gold Share | EPO · Gold | Standardtier | Accepting new patients |
| Medica Insure Gold Standard | EPO · Gold | Standardtier | Accepting new patients |
| Medica Insure Silver $0 Copay PCP Visits | EPO · Silver | Standardtier | Accepting new patients |
| Medica Insure Silver Share | EPO · Silver | Standardtier | Accepting new patients |
| Medica Insure Silver Standard | EPO · Silver | Standardtier | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | MercyOne | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | MercyOne | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | MercyOne | EPO · Gold | Preferred | Accepting new patients |
| Secure | MercyOne | EPO · Catastrophic | Preferred | Accepting new patients |
| Silver Classic Standard | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Classic | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | MercyOne | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | MercyOne | EPO · Silver | Preferred | Accepting new patients |
Wellmark Health Plan of Iowa, Inc.
Network data as of Sep 8, 2026, as reported by the insurer.
Show all 7 plans from Wellmark Health Plan of Iowa, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellmark Bronze HDHP HMO HSA Qualified | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Bronze Traditional HMO | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Gold Traditional HMO | HMO · Gold | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Silver Traditional HMO | HMO · Silver | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Bronze HMO | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Gold HMO | HMO · Gold | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Silver HMO | HMO · Silver | Wellmark Blue HMO Network | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Brian E. Sims is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Brian E. Sims is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Bills through: Covenant Medical Center Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Pfizer | $501 |
| Shire North American Group | $348 |
| GlaxoSmithKline | $195 |
Other
| Food and Beverage | $1559 |
Looking for more Pediatricians?
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- Gender: Male
- Address: Suite 510 2710 Saint Francis Drive Waterloo, 50702, IA
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- Address: Suite 510 2710 Saint Francis Drive Waterloo, 50702, IA
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- Gender: Male
- Address: Suite 510 2710 Saint Francis Drive Waterloo, 50702, IA
Questions & Answers
Does Dr. Brian E. Sims accept patients with Medica?
Yes, Dr. Brian E. Sims is listed in-network for Medica through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Brian E. Sims treat?
Dr. Brian E. Sims provides treatment for Developmental Delays, Influenza, Kawasaki Disease, Muscular Dystrophy, Nausea and Vomiting, Speech Disorders. For the full list see this list.
Where can you meet with Dr. Brian E. Sims?
Dr. Brian E. Sims's office is located at 2710 Saint Francis Drive Suite 510 in Waterloo, IA 50702.