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DR. ROBERT MILES ZIMMERMAN JR. D.O.
NPI 1174529457
Obstetrics & Gynecology in Pottsville, PA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
171 RED HORSE RD, POTTSVILLE, PA 17901(570) 628-2229(570) 628-5185 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Robert Miles Zimmerman Jr. D.o. NPPES

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

DR. ROBERT MILES ZIMMERMAN JR. D.O. (NPI 1174529457) is an individual obstetrics & gynecology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (OS006936L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1174529457
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROBERT MILES ZIMMERMAN JR.Credential: D.O.
Location Address171 RED HORSE RDPottsville, PA 17901-8898
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-4500
Phone(570) 628-2229
Fax(570) 628-5185
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1988
Enumeration DateJune 22, 2005
Last NPPES UpdateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1174529457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · OS006936L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
171 RED HORSE RD, Pottsville, PA 17901
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Secondary Practice Location 1

Location 11245 S Cedar Crest Blvd Ste 201Allentown, PA 18103-6258 · Phone (610) 402-4870

Other Identifiers 1

Medicaid0014098530001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Miles Zimmerman Jr. D.o. 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 ID5092790675
PECOS Enrollment IDI20110609000193
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Robert Zimmerman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
1.9 mi
Family Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1700648193 (570) 621-9270
Schuylkill Health System Medical Group, Inc.
1.9 mi
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1063073823 (570) 621-9200
Lehigh Valley Physician Group
23 mi
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hazleton Professional Services
  • 305 clinicians in this Medicare group
NPI 1942609599 (570) 501-6220
Valley Health Partners Community Health Center
38 mi
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
NPI 1912532888 (610) 969-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
220 services220 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
220 services220 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services63 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 10

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

COMPREHENSIVE WOMEN'S HEALTH SERVICES, P.C.
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
DR. DAVID PAUL KREWSON D.O.
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
JAMES C XENOPHON MD
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
DR. LUKE J RODRIGUEZ MD
Surgery
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (104) 027-8846
TRINETTE OTUBEA DARKO-MISSAH PA-C
Physician Assistant
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
REBECCA SPOTTS CRNP
Nurse Practitioner (Family)
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
ASHLEY COSTA M.D.
Obstetrics & Gynecology
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229
MRS. HEATHER GOSCH C.N.M.
Advanced Practice Midwife
171 RED HORSE RD
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2229

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 Robert Zimmerman's NPI number?

The NPI number for Robert Zimmerman is 1174529457. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Robert Zimmerman located?

Robert Zimmerman practices at 171 Red Horse Rd, Pottsville, PA 17901. The listed phone number is (570) 628-2229.

What is Robert Zimmerman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Zimmerman enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Zimmerman reassigns Medicare benefits to 4 organizations: Lehigh Valley Physician Group (Pottsville, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA), Lehigh Valley Physician Group (Hazleton, PA) and Valley Health Partners Community Health Center (Allentown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Zimmerman affiliated with any hospitals?

According to CMS data, Robert Zimmerman is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Robert Zimmerman was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.