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RYAN DEAN ZIMMERMAN DMD
NPI 1467773911
Dentist - Prosthodontics in Fort Wayne, IN

Active since June 18, 2010PECOS Enrolled
4205 HOBSON CT, FORT WAYNE, IN 46815(260) 486-8778(260) 486-7679 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 2, 2023, Jun 5, 2019 (2 updates tracked since 2019).

About Ryan Dean Zimmerman Dmd NPPES

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

RYAN DEAN ZIMMERMAN DMD (NPI 1467773911) is an individual prosthodontics provider in Fort Wayne, Indiana, licensed in Indiana (12011459A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Dentistry (2010).

NPPES Registry Identity

NPI1467773911
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameRYAN DEAN ZIMMERMANCredential: DMD
Location Address4205 HOBSON CTFort Wayne, IN 46815-8648
Mailing Address4205 Hobson CtFort Wayne, IN 46815-8648 · (260) 486-8778 · Fax (260) 486-7679
Phone(260) 486-8778
Fax(260) 486-7679
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of DentistryGraduated 2010
Enumeration DateJune 18, 2010
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1467773911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in IN · 12011459A
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 12011459A (IN)
4205 HOBSON CT, Fort Wayne, IN 46815
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Dean Zimmerman Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941548408
PECOS Enrollment IDI20190208001758
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 Reassignment

Medicare enrollment records show Ryan Zimmerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Wayne Prosthodontics, Inc.
Same address
Prosthodontics
4205 HOBSON CT
Fort Wayne, IN 46815
  • Reassigned Medicare billing, Indiana enrollment
NPI 1447713219 (260) 486-8778

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 46815 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 4

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

DR. GARY LYNN GOTSCH D.D.S, M.S.D.
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778
GARY L. GOTSCH DDS, MSD, LLC
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8788
FORT WAYNE PROSTHODONTICS, INC.
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778
GARY L. GOTSCH DDS MSD
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778

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 Ryan Zimmerman's NPI number?

The NPI number for Ryan Zimmerman is 1467773911. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Ryan Zimmerman located?

Ryan Zimmerman practices at 4205 Hobson Ct, Fort Wayne, IN 46815. The listed phone number is (260) 486-8778.

What is Ryan Zimmerman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Ryan Zimmerman enrolled in Medicare?

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

Which organization bills Medicare for Ryan Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Zimmerman reassigns Medicare benefits to Fort Wayne Prosthodontics, Inc. (Fort Wayne, IN). The 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 Ryan Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Zimmerman was last updated on February 2, 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.