MARK ZIMMERMAN MD
NPI 1508842857
Psychiatry & Neurology - Psychiatry in Cranston, RI

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
1170 PONTIAC AVE, CRANSTON, RI 02920(401) 500-0424 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Zimmerman Md NPPES

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

MARK ZIMMERMAN MD (NPI 1508842857) is an individual psychiatry provider in Cranston, Rhode Island, licensed in Rhode Island (MD08762) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Shelburne, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1508842857
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK ZIMMERMANCredential: MD
Location Address1170 PONTIAC AVECranston, RI 02920-7944
Mailing Address420 Scrabbletown Rd Ste ANorth Kingstown, RI 02852-3638 · (401) 268-5333 · Fax (855) 268-5333
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 19, 2005
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1508842857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in RI · MD08762
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1170 PONTIAC AVE, Cranston, RI 02920

Secondary Practice Location 1

Location 1145 Pine Haven Shores Rd Ste 1191Shelburne, VT 05482-7821 · Phone (802) 899-0124 · Fax (855) 268-5333

Other Identifiers 1

Medicaid9006816RI

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 and accepts Medicare assignment

Mark Zimmerman Md 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 ID4082665559
PECOS Enrollment IDI20050202000705, I20251006002668
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 2

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.
76 services20 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
54 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

Nurse Practitioner (Acute Care)
1170 PONTIAC AVE
CRANSTON, RI 02920
Nurse Practitioner (Family)
1170 PONTIAC AVE
CRANSTON, RI 02920
Registered Nurse
1170 PONTIAC AVE
CRANSTON, RI 02920
Counselor (Mental Health)
1170 PONTIAC AVE
CRANSTON, RI 02920
Clinical Neuropsychologist
1170 PONTIAC AVE
CRANSTON, RI 02920
Counselor (Mental Health)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Counselor (Mental Health)
1170 PONTIAC AVE
CRANSTON, RI 02920

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 Mark Zimmerman's NPI number?

The NPI number for Mark Zimmerman is 1508842857. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Mark Zimmerman located?

Mark Zimmerman practices at 1170 Pontiac Ave, Cranston, RI 02920. The listed phone number is (401) 500-0424.

What is Mark Zimmerman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Zimmerman enrolled in Medicare?

Yes. Mark 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 Mark Zimmerman accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark 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 Mark Zimmerman was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.