MIMI A ZUMWALT MD
NPI 1316928757
Orthopaedic Surgery - Sports Medicine in Lubbock, TX

Active since November 11, 2005PECOS Enrolled
100/100
CMS Quality Rating
3601 4TH ST, LUBBOCK, TX 79430(806) 743-2475(806) 743-1394 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Mar 7, 2023, Nov 23, 2021 and 1 more (4 updates tracked since 2015).

About Mimi A Zumwalt Md NPPES

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

MIMI A ZUMWALT MD (NPI 1316928757) is an individual sports medicine provider in Lubbock, Texas, licensed in Texas (K8867) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316928757
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameMIMI A ZUMWALTCredential: MD
Location Address3601 4TH STLubbock, TX 79430-0002
Mailing AddressPo Box 5865Lubbock, TX 79430-5865 · (806) 743-2898 · Fax (806) 743-2787
Fax(806) 743-1394
Sole ProprietorNo
Enumeration DateNovember 11, 2005
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1316928757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in TX · K8867
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License K8867 (TX)
3601 4TH ST, Lubbock, TX 79430

Other Identifiers 12

Other127647100TX · Firstcare Commercial
Other64481NM · Presbyterian Commercial
Medicaid100078050AOK
Other84308ZTX · Hmo Blue
Medicaid105457903TX
Medicaid105457901TX
Medicaid64481NM
Other81155STX · Bc/bs
OtherA033NM · Triwest
Medicaid66627NM
Medicaid127647101TX
OtherX0112999TX · Dps

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 (PECOS)

Mimi A Zumwalt 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 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430

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 Mimi Zumwalt's NPI number?

The NPI number for Mimi Zumwalt is 1316928757. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Mimi Zumwalt located?

Mimi Zumwalt practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-2475.

What is Mimi Zumwalt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mimi Zumwalt enrolled in Medicare?

Yes. Mimi Zumwalt is registered in the Medicare PECOS enrollment system.

What insurance does Mimi Zumwalt accept?

Health plans from Blue Cross and Blue Shield of Texas list Mimi Zumwalt 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 Mimi Zumwalt was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.