AUDRA ZIMMER MD
NPI 1558749275
Ophthalmology in West Burlington, IA

Active since May 14, 2015PECOS Enrolled
77.81/100
CMS Quality Rating
1223 S GEAR AVE STE 309, WEST BURLINGTON, IA 52655(319) 768-4500 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Aug 26, 2019 (2 updates tracked since 2019).

About Audra Zimmer Md NPPES

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

AUDRA ZIMMER MD (NPI 1558749275) is an individual ophthalmology provider in West Burlington, Iowa, licensed in Iowa (MD-46310) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chester.

NPPES Registry Identity

NPI1558749275
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameAUDRA ZIMMERCredential: MD
Location Address1223 S GEAR AVE STE 309West Burlington, IA 52655-1694
Mailing Address1223 S Gear Ave Ste 309West Burlington, IA 52655-1694
Sole ProprietorNo
Enumeration DateMay 14, 2015
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1558749275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IA · MD-46310
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1223 S GEAR AVE STE 309, West Burlington, IA 52655

Secondary Practice Location 1

Location 11 Medical Center Blvd, Department of Medicine 3 EastChester, PA 19013-3902 · Phone (610) 874-6114

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)

Audra Zimmer 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.

Areas of Expertise CMS Part B claims 11

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
640 services305 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
396 services96 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
390 services381 patients
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.
248 services165 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
152 services126 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
95 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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 Audra Zimmer's NPI number?

The NPI number for Audra Zimmer is 1558749275. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Audra Zimmer located?

Audra Zimmer practices at 1223 S Gear Ave Ste 309, West Burlington, IA 52655. The listed phone number is (319) 768-4500.

What is Audra Zimmer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Audra Zimmer enrolled in Medicare?

Yes. Audra Zimmer is registered in the Medicare PECOS enrollment system.

What insurance does Audra Zimmer accept?

Health plans from Medica list Audra Zimmer 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 Audra Zimmer was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.