DR. EDWARD D ZIMMERMAN M.D.
NPI 1386646669
Emergency Medicine in Worland, WY

Q: What is Edward Zimmerman's NPI number?

The NPI number for Edward Zimmerman is 1386646669. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Edward Zimmerman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Zimmerman was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 01, 2005PECOS Enrolled

58.5/100

CMS Quality Rating

316 N 10TH ST, WORLAND, WY 82401(307) 347-8885(307) 347-2428 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2023, Apr 28, 2021, Sep 30, 2020 (3 updates tracked since 2020).

On this page

About Dr. Edward D Zimmerman M.d. NPPES

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

DR. EDWARD D ZIMMERMAN M.D. (NPI 1386646669) is an individual emergency medicine provider in Worland, Wyoming, licensed in Wyoming (8034A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1998).

NPPES Registry Identity

NPI1386646669

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. EDWARD D ZIMMERMANCredential: M.D.

Location Address316 N 10TH STWorland, WY 82401-2307

Mailing Address316 N 10th StWorland, WY 82401-2307 · (307) 347-8885 · Fax (307) 347-2428

Phone(307) 347-8885

Fax(307) 347-2428

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1998

Enumeration DateJune 1, 2005

Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1386646669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WY · 8034A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 8034A (WY)

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 8034A (WY)

316 N 10TH ST, Worland, WY 82401

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Other Identifiers 1

Medicaid100377060BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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. Edward D Zimmerman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42276990

PECOS Enrollment IDI20080905000010

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

Medicare enrollment records show Edward Zimmerman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Horn Family Medicine LLC

0.4 mi

Family Medicine

316 N 10TH ST
Worland, WY 82401

Reassigned Medicare billing, Wyoming enrollment

NPI 1174764757 (307) 347-8885

West Park Hospital District

25 mi

Emergency Medicine

PO BOX 143
Basin, WY 82410

Reassigned Medicare billing, Wyoming enrollment
181 clinicians in this Medicare group

NPI 1942921937 (307) 568-3700

Memorial Hospital Of Carbon County

158 mi

General Acute Care Hospital

2221 W ELM ST
Rawlins, WY 82301

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1710298757 (Wyoming)
43 clinicians in this Medicare group

NPI 1417031311 (307) 324-2221

Weston County Hospital District

166 mi

Rural Health

717 PINE STREET
Upton, WY 82730

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1154402972 (Wyoming)
19 clinicians in this Medicare group

NPI 1588230015 (307) 468-2302

Northwest Emergency Physicians LLC

737 mi

Emergency Medicine

330 S STILLAGUAMISH AVE
Arlington, WA 98223

Reassigned Medicare billing, Wyoming enrollment
41 clinicians in this Medicare group

NPI 1235172370 (925) 251-6901

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

Areas of Expertise CMS Part B claims 7

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.

169 services48 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.

69 services39 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

64 services63 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services40 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services19 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.

19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number530008

Location2100 W Sunset DrRiverton, WY 82501 · Fremont County

Emergency services

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number530014

Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County

Emergency services Birthing friendly

Weston County Health Services

Critical Access Hospitals · Newcastle, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531303

Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County

Emergency services

Washakie Medical Center

Critical Access Hospitals · Worland, WY

OwnershipGovernment - Local

CMS Certification Number531306

Location400 South 15th StreetWorland, WY 82401 · Washakie County

Emergency services

Memorial Hospital Of Carbon County

Critical Access Hospitals · Rawlins, WY

OwnershipGovernment - Local

CMS Certification Number531316

Location2221 West Elm StreetRawlins, WY 82301 · Carbon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82401 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.

58.5/100

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

Scored as part of a group practice

Quality

47.77

Improvement Activities

Cost

57.42

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers17 claims33 services$1.78 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers32 claims32 services$19.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers89 claims89 services$111.22 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$38.12 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims3,240 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers32 claims3,780 services$0.09 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 5

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

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