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ERIC L ZIMMERMAN DO
NPI 1053316059
Psychiatry & Neurology - Neurology in Mount Clemens, MI

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
1030 HARRINGTON ST STE LL001, MOUNT CLEMENS, MI 48043(586) 493-3297 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Eric L Zimmerman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC L ZIMMERMAN DO (NPI 1053316059) is an individual neurology provider in Mount Clemens, Michigan, licensed in Michigan (5101014238) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053316059
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameERIC L ZIMMERMANCredential: DO
Location Address1030 HARRINGTON ST STE LL001Mount Clemens, MI 48043-2918
Mailing Address1030 Harrington St Ste Ll001Mount Clemens, MI 48043-2918 · (586) 493-3297
Phone(586) 493-3297
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1053316059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 5101014238
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1030 HARRINGTON ST STE LL001, Mount Clemens, MI 48043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric L Zimmerman Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961393848
PECOS Enrollment IDI20040322000594
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
156 services151 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
77 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services40 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
44 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA RAZMJOU-SCHWARZ MD
Psychiatry & Neurology (Neurology)
1030 HARRINGTON ST STE LL001
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Zimmerman's NPI number?

The NPI number for Eric Zimmerman is 1053316059. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Eric Zimmerman located?

Eric Zimmerman practices at 1030 Harrington St Ste Ll001, Mount Clemens, MI 48043. The listed phone number is (586) 493-3297.

What is Eric Zimmerman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Eric Zimmerman enrolled in Medicare?

Yes. Eric Zimmerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Zimmerman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Eric Zimmerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Zimmerman affiliated with any hospitals?

According to CMS data, Eric Zimmerman is affiliated with Mclaren Northern Michigan and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Eric Zimmerman was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.