1. Home
  2. Directory
  3. NPI Profile

MR. JAMES RICHARD ZIMMERMAN PA-C
NPI 1215944921
Physician Assistant in Baggs, WY

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
15 LASH ST, BAGGS, WY 82321(307) 383-2008(307) 383-2009 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. James Richard Zimmerman Pa-c NPPES

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

MR. JAMES RICHARD ZIMMERMAN PA-C (NPI 1215944921) is an individual physician assistant in Baggs, Wyoming, licensed in Wyoming (152) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1215944921
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAMES RICHARD ZIMMERMANCredential: PA-C
Location Address15 LASH STBaggs, WY 82321-5005
Mailing AddressPo Box 37Baggs, WY 82321-0037 · (307) 383-2008 · Fax (307) 383-2009
Phone(307) 383-2008
Fax(307) 383-2009
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1215944921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WY · 152✔ Licensed in CO · PA 780
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.
15 LASH ST, Baggs, WY 82321
Open in Google Maps ↗

Other Identifiers 1

Medicaid50275291CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mr. James Richard Zimmerman Pa-c 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 ID2466401401
PECOS Enrollment IDI20211209002358
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 2

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.

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.
43 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82321 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims28 services$4.24 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$47.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Zimmerman's NPI number?

The NPI number for James Zimmerman is 1215944921. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is James Zimmerman located?

James Zimmerman practices at 15 Lash St, Baggs, WY 82321. The listed phone number is (307) 383-2008.

What is James Zimmerman's specialty?

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

Is James Zimmerman enrolled in Medicare?

Yes. James 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 James Zimmerman accept?

Health plans from UnitedHealthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Zimmerman was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.