DR. CHARLES J ZIMMERMANN DPM
NPI 1245248145
Podiatrist in Lexington, KY

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3080 HARRODSBURG RD, STE 225, LEXINGTON, KY 40503(859) 296-4272(859) 296-9645 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles J Zimmermann Dpm NPPES

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

DR. CHARLES J ZIMMERMANN DPM (NPI 1245248145) is an individual podiatrist in Lexington, Kentucky, licensed in Kentucky (00206) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of William M. Scholl College Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1245248145
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. CHARLES J ZIMMERMANNCredential: DPM
Location Address3080 HARRODSBURG RD, STE 225Lexington, KY 40503-2774
Mailing Address3080 Harrodsburg Rd, Ste 225Lexington, KY 40503-2774 · (859) 296-4272 · Fax (859) 296-9645
Fax(859) 296-9645
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1991
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 4, 2013
NPI 1245248145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in KY · 00206
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3080 HARRODSBURG RD, Lexington, KY 40503

Other Identifiers 5

Medicare PIN0585302KY
Other480031505KY · Railroad Medicare
Other000000041863KY · Anthem Bcbs
Medicare UPINU32235
Medicaid80002066KY

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

Dr. Charles J Zimmermann Dpm 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 ID9537174982
PECOS Enrollment IDI20060207000533
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 14

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
480 services290 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
365 services132 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.
345 services221 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
288 services170 patients
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.
195 services195 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
104 services46 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier23 claims46 services$60.53 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier19 claims108 services$24.99 avg. paid by Medicare
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$136.57 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 6

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

Taxi
3080 HARRODSBURG RD, SUITE 101
LEXINGTON, KY 40503
Audiologist
3080 HARRODSBURG RD, SUITE 200
LEXINGTON, KY 40503
Audiologist
3080 HARRODSBURG RD, SUITE 200
LEXINGTON, KY 40503
Podiatrist
3080 HARRODSBURG RD, STE 225
LEXINGTON, KY 40503
Clinic/Center (Oral and Maxillofacial Surgery)
3080 HARRODSBURG RD, SUITE 275
LEXINGTON, KY 40503
Podiatrist
3080 HARRODSBURG RD, SUITE 225
LEXINGTON, KY 40503

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 Charles Zimmermann's NPI number?

The NPI number for Charles Zimmermann is 1245248145. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Charles Zimmermann located?

Charles Zimmermann practices at 3080 Harrodsburg Rd Ste 225, Lexington, KY 40503. The listed phone number is (859) 296-4272.

What is Charles Zimmermann's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Charles Zimmermann enrolled in Medicare?

Yes. Charles Zimmermann 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 Charles Zimmermann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Charles Zimmermann 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 Charles Zimmermann affiliated with any hospitals?

According to CMS data, Charles Zimmermann is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Zimmermann was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.