DR. ZACHARY ADAM ZIMMERMAN M.D.
NPI 1265815187
Otolaryngology in Beloit, WI

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2400(608) 363-7376 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Aug 25, 2021, Jul 23, 2020 (3 updates tracked since 2020).

About Dr. Zachary Adam Zimmerman M.d. NPPES

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

DR. ZACHARY ADAM ZIMMERMAN M.D. (NPI 1265815187) is an individual otolaryngology provider in Beloit, Wisconsin, licensed in Wisconsin (75795-20) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1265815187
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ZACHARY ADAM ZIMMERMANCredential: M.D.
Location AddressBELOIT CLINIC, 1905 E HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing AddressBeloit Health System, 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2400 · Fax (608) 363-7376
Fax(608) 363-7376
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1265815187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in WI · 75795-20 Licensed in GA · 7590 Licensed in IL · 036-151049
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 036151049 (IL), 036-151049 (IL), 75795-20 (WI)
BELOIT CLINIC, Beloit, WI 53511

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-4307

Other Identifiers 2

Medicaid100175684WI
Other7590FL · Georgia Composite Medical Board

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. Zachary Adam Zimmerman 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 ID4385075779
PECOS Enrollment IDI20200519003162, I20210803000695
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 17

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.
160 services123 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.
149 services110 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.
117 services117 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
97 services74 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.
95 services78 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.
75 services63 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

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.

Nurse Practitioner
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Family Medicine
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Nurse Practitioner
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Physician Assistant
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Orthopaedic Surgery
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Dietitian, Registered
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

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 Zachary Zimmerman's NPI number?

The NPI number for Zachary Zimmerman is 1265815187. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Zachary Zimmerman located?

Zachary Zimmerman practices at Beloit Clinic 1905 E Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2400.

What is Zachary Zimmerman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Zachary Zimmerman enrolled in Medicare?

Yes. Zachary 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 Zachary Zimmerman accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Zachary 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.

Is Zachary Zimmerman affiliated with any hospitals?

According to CMS data, Zachary Zimmerman is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Zachary Zimmerman was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.