RICHARD HALPIN ZIMLICH M.D.
NPI 1083644355
Orthopaedic Surgery in North Charleston, SC

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
83.55/100
CMS Quality Rating
2880 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-5050(843) 797-3633 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Halpin Zimlich M.d. NPPES

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

RICHARD HALPIN ZIMLICH M.D. (NPI 1083644355) is an individual orthopaedic surgery provider in North Charleston, South Carolina, licensed in South Carolina (16856) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1992).

NPPES Registry Identity

NPI1083644355
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRICHARD HALPIN ZIMLICHCredential: M.D.
Location Address2880 TRICOM STNorth Charleston, SC 29406-9171
Mailing Address2880 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-5050 · Fax (843) 797-3633
Fax(843) 797-3633
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1992
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
NPI 1083644355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SC · 16856
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 16856 (SC)
2880 TRICOM ST, North Charleston, SC 29406

Other Identifiers 2

Other1326287434SC · Medicaid Dme Npi
Medicaid168561SC

Accepted 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

Richard Halpin Zimlich M.d. 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 ID2860382736
PECOS Enrollment IDI20100622000305
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 23

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,280 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,003 services618 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
456 services342 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
389 services267 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
183 services183 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
182 services150 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420030
Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.28
Promoting Interoperability97
Improvement Activities40
Cost84.4

Reported Quality Measures

Advance Care Plan
97%1,471 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
51%287 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
23%1,636 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
44%263 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%240 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%4,032 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%1,433 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 1,650 patients
Patients screened: 93% · 1,650 patients
45%146 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
84%864 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
8%872 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%330 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 1,492 patients
Patients totalRate: 4% · 1,500 patients
2%1,500 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers79 claims79 services$40.79 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier56 claims61 services$98.63 avg. paid by Medicare
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf L1830
DME-Orthotic Devices · category DF011N
1 supplier54 claims54 services$63.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Physician Assistant (Medical)
2880 TRICOM ST
N CHARLESTON, SC 29406
Physician Assistant (Surgical)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Occupational Therapist (Hand)
2880 TRICOM ST, SIUTE B
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Physical Therapist
2880 TRICOM ST, SUITE B
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Adult Health)
2880 TRICOM ST
N CHARLESTON, SC 29406

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 Richard Zimlich's NPI number?

The NPI number for Richard Zimlich is 1083644355. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Richard Zimlich located?

Richard Zimlich practices at 2880 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-5050.

What is Richard Zimlich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Zimlich enrolled in Medicare?

Yes. Richard Zimlich 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 Richard Zimlich accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Richard Zimlich 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 Richard Zimlich affiliated with any hospitals?

According to CMS data, Richard Zimlich is affiliated with Musc Medical Center, Colleton Medical Center and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Zimlich was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.