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DR. SARAH PRITCHETT ZIMMERMAN MD
NPI 1295861961
Pediatrics in Waltham, MA

Active since February 26, 2007PECOS Enrolled
40 2ND AVE STE 400, WALTHAM, MA 02451(781) 487-4340 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sarah Pritchett Zimmerman Md NPPES

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

DR. SARAH PRITCHETT ZIMMERMAN MD (NPI 1295861961) is an individual pediatrics provider in Waltham, Massachusetts, licensed in North Carolina (2008-00638) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295861961
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SARAH PRITCHETT ZIMMERMANCredential: MD
Location Address40 2ND AVE STE 400Waltham, MA 02451-1137
Mailing Address1600 Perimeter Park Dr, Suite 225Morrisville, NC 27560-8421
Phone(781) 487-4340
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMay 2, 2018
✔ NPI 1295861961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2008-00638✔ Licensed in MA · 273874✔ Licensed in MA · L-224892
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
40 2ND AVE STE 400, Waltham, MA 02451
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Other Identifiers 1

Medicaid5910823NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sarah Pritchett Zimmerman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Sarah Zimmerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts General Physicians Organization Inc
10 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
10 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sarah Zimmerman's NPI number?

The NPI number for Sarah Zimmerman is 1295861961. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Sarah Zimmerman located?

Sarah Zimmerman practices at 40 2nd Ave Ste 400, Waltham, MA 02451. The listed phone number is (781) 487-4340.

What is Sarah Zimmerman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sarah Zimmerman enrolled in Medicare?

Yes. Sarah Zimmerman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Zimmerman reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Sarah Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Zimmerman accept?

Health plans from Taro Health list Sarah 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 Sarah Zimmerman was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.