DR. JAMES A ZIMMERMAN M.D.
NPI 1669748596
Family Medicine in Wauseon, OH

Active since March 26, 2012PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
495 S SHOOP AVE, WAUSEON, OH 43567(419) 335-7921 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, Jun 9, 2022, Jul 14, 2021 (3 updates tracked since 2021).

About Dr. James A Zimmerman M.d. NPPES

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

DR. JAMES A ZIMMERMAN M.D. (NPI 1669748596) is an individual family medicine provider in Wauseon, Ohio, licensed in Indiana (11016674A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1669748596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES A ZIMMERMANCredential: M.D.
Location Address495 S SHOOP AVEWauseon, OH 43567-1719
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2012
Enumeration DateMarch 26, 2012
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1669748596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 11016674A
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.
495 S SHOOP AVE, Wauseon, OH 43567

Secondary Practice Location 1

Location 18414 Naab Rd Ste 120Indianapolis, IN 46260-1972 · Phone (317) 338-7584 · Fax (317) 338-7494

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

Dr. James A 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 ID7012140718
PECOS Enrollment IDI20151007001479
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 19

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.
730 services306 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.
165 services165 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.
138 services112 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.
84 services83 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.
82 services81 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
59 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361328
Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County
Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.51
Promoting Interoperability100
Improvement Activities40
Cost67.81

Referred Medical Equipment & Supplies CMS DME claims 15

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
11 suppliers55 claims133 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers22 claims32 services$1.06 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims3,400 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier17 claims3,400 services$5.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers16 claims16 services$77.50 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 3

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

Family Medicine
495 S SHOOP AVE
WAUSEON, OH 43567
Family Medicine
495 S SHOOP AVE
WAUSEON, OH 43567
Family Medicine
495 S SHOOP AVE
WAUSEON, OH 43567

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 James Zimmerman's NPI number?

The NPI number for James Zimmerman is 1669748596. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is James Zimmerman located?

James Zimmerman practices at 495 S Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 335-7921.

What is James Zimmerman's specialty?

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

Is James Zimmerman enrolled in Medicare?

Yes. James 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 James Zimmerman accept?

Health plans from CareSource and UnitedHealthcare list James 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 James Zimmerman affiliated with any hospitals?

According to CMS data, James Zimmerman is affiliated with Parkview Regional Medical Center, Promedica Toledo Hospital, Community Hospitals And Wellness Centers, Promedica Defiance Regional Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for James Zimmerman was last updated on October 7, 2022. 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.