RAYMOND ZIMMERMAN M.D.
NPI 1386602100
Family Medicine in Merrillville, IN

Q: What is Raymond Zimmerman's NPI number?

The NPI number for Raymond Zimmerman is 1386602100. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Raymond Zimmerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Zimmerman was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

71.32/100

CMS Quality Rating

8777 BROADWAY, SUITE A, MERRILLVILLE, IN 46410(219) 756-0960(219) 756-0961 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Raymond Zimmerman M.d. NPPES

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

RAYMOND ZIMMERMAN M.D. (NPI 1386602100) is an individual family medicine provider in Merrillville, Indiana, licensed in Indiana (01035397A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1386602100

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAYMOND ZIMMERMANCredential: M.D.

Location Address8777 BROADWAY, SUITE AMerrillville, IN 46410-6693

Mailing Address8777 Broadway, Suite AMerrillville, IN 46410-6693 · (219) 756-0960 · Fax (219) 756-0961

Phone(219) 756-0960

Fax(219) 756-0961

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1985

Enumeration DateMay 2, 2006

Last NPPES UpdateJanuary 8, 2013

✔ NPI 1386602100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01035397A✔ Licensed in IL · 036-081831

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8777 BROADWAY, Merrillville, IN 46410

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Other Identifiers 10

Other0222075IL · Blue Cross Group Number

Other3631498336019001IL · Cdpg Hfs Payee Id

Medicare PIN876020IN

Medicare PIN178481IL

Medicare PIN217000CIN

Other363149833IL · Tax Identification Number

OtherP00700171IL · Rr Medicare

Medicaid036081831IL

Medicare UPIND94847

Medicaid200152060IN

Accepted Insurance

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

Raymond 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 ID9335189042

PECOS Enrollment IDI20050511000796, I20061117000430

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 12

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 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.

404 services201 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.

298 services175 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

123 services67 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

67 services67 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

55 services38 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

51 services49 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.

50 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

49 services47 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

43 services43 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services20 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

19 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

71.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

69.56

Improvement Activities

Cost

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%29 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

78%207 patients4/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%75 patients

Breast Cancer Screening

27%300 patients2/55-star benchmark: 93%

Cervical Cancer Screening

14%305 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

31%758 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

71%563 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

0%222 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

53%222 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

81%3,847 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

26%487 patients2/55-star benchmark: 100%

HIV Screening

9%814 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%1,241 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

11%881 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%1,457 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 83% · 926 patients

Patients screened: 97% · 926 patients

17%155 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

64%632 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 11% · 527 patients

Patients totalRate: 15% · 527 patients

13%527 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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

17 suppliers58 claims159 services$5.99 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers32 claims40 services$0.95 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$15.93 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers17 claims66 services$2.02 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$4.39 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers20 claims20 services$29.32 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 10

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

DARCY DENISE ORZECH LCSW

Social Worker (Clinical)

8777 BROADWAY, SUITE C
MERRILLVILLE, IN 46410

Lake County (219) 793-1233

MISS TERESA A HALL RD

Dietitian, Registered

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 712-6253

SURESH D. REDDY M.D.

Family Medicine

8777 BROADWAY, SUITE A
MERRILLVILLE, IN 46410

Lake County (219) 756-0960

MELISSA MICHELLE EVERS

Nurse Practitioner (Family)

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 738-5316

BEVERLY C. TITUS N.P.

Registered Nurse

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 736-5151

SARAH DUMBAULD MSN, APRN, FNP-C

Nurse Practitioner (Family)

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 738-3854

JILL BLANCHARD

Family Medicine

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 738-5316

SOPHIA ADDY MD

Obstetrics & Gynecology

8777 BROADWAY
MERRILLVILLE, IN 46410

Lake County (219) 738-3536

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 Raymond Zimmerman's NPI number?

The NPI number for Raymond Zimmerman is 1386602100. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Raymond Zimmerman located?

Raymond Zimmerman practices at 8777 Broadway Suite A, Merrillville, IN 46410. The listed phone number is (219) 756-0960.

What is Raymond Zimmerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Zimmerman enrolled in Medicare?

Yes. Raymond 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 Raymond Zimmerman accept?

Health plans from CareSource list Raymond 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 Raymond Zimmerman affiliated with any hospitals?

According to CMS data, Raymond Zimmerman is affiliated with Methodist Hospitals Inc, St Mary Medical Center Inc, Franciscan Health Dyer, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Raymond Zimmerman was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.