ALAINA ZIMMER
NPI 1104477496
Physician Assistant in Pittsburgh, PA

Active since September 27, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP ST FL 3, D380, PITTSBURGH, PA 15213(877) 684-7189 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Mar 16, 2021, Oct 1, 2019 and 1 more (4 updates tracked since 2019).

About Alaina Zimmer NPPES

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

ALAINA ZIMMER (NPI 1104477496) is an individual physician assistant in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA061018) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104477496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALAINA ZIMMER
Location Address200 LOTHROP ST FL 3, D380Pittsburgh, PA 15213-2536
Mailing Address9100 Babcock Blvd Ste 4828, D380Pittsburgh, PA 15237-5815
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 27, 2019
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1104477496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA061018
Definition
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.
200 LOTHROP ST FL 3, Pittsburgh, PA 15213

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

Alaina Zimmer 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 ID4789017344
PECOS Enrollment IDI20191212001239
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 9

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers33 claims780 services$3.34 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
1 supplier14 claims215 services$6.03 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers40 claims760 services$4.79 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers26 claims322 services$2.50 avg. paid by Medicare
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4413
DME-Orthotic Devices · category DF010N
1 supplier11 claims200 services$5.29 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers14 claims170 services$4.46 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 5

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

Dietitian, Registered
200 LOTHROP ST FL 3
PITTSBURGH, PA 15213
Internal Medicine (Cardiovascular Disease)
200 LOTHROP ST FL 3, SUITE 5102
PITTSBURGH, PA 15213
Internal Medicine (Cardiovascular Disease)
200 LOTHROP ST FL 3, WING 5B PUH
PITTSBURGH, PA 15213
Dietitian, Registered
200 LOTHROP ST FL 3
PITTSBURGH, PA 15213
Physician Assistant
200 LOTHROP ST FL 3
PITTSBURGH, PA 15213

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 Alaina Zimmer's NPI number?

The NPI number for Alaina Zimmer is 1104477496. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Where is Alaina Zimmer located?

Alaina Zimmer practices at 200 Lothrop St Fl 3 D380, Pittsburgh, PA 15213. The listed phone number is (877) 684-7189.

What is Alaina Zimmer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alaina Zimmer enrolled in Medicare?

Yes. Alaina Zimmer 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.

Is Alaina Zimmer affiliated with any hospitals?

According to CMS data, Alaina Zimmer is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Alaina Zimmer was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.