TODD ZIMMERMAN
NPI 1699756874
Family Medicine in Pittsburgh, PA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1713 ARDMORE BLVD, PITTSBURGH, PA 15221(412) 247-3222 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Todd Zimmerman NPPES

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

TODD ZIMMERMAN (NPI 1699756874) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (95253) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Temple University School Of Medicine (1995).

NPPES Registry Identity

NPI1699756874
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD ZIMMERMAN
Location Address1713 ARDMORE BLVDPittsburgh, PA 15221-4405
Mailing Address1713 Ardmore BlvdPittsburgh, PA 15221-4405
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1995
Enumeration DateNovember 7, 2005
Last NPPES UpdateMarch 25, 2021
NPI 1699756874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · 95253
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.

1713 ARDMORE BLVD, Pittsburgh, PA 15221

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

Todd Zimmerman 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 ID6002858636
PECOS Enrollment IDI20050524001159
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 6

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, 30-39 minutes 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.
72 services51 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services28 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.
28 services28 patients
Influenza vaccine, quadrivalent derived from recombinant dna 90682
The quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.
25 services24 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.
25 services24 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15221 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers21 claims38 services$5.03 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
2 suppliers24 claims24 services$51.69 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 9

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

Family Medicine
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Family Medicine
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Family Medicine
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Non-Pharmacy Dispensing Site
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Nurse Practitioner (Family)
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Family Medicine
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Internal Medicine
1713 ARDMORE BLVD
PITTSBURGH, PA 15221
Nurse Practitioner
1713 ARDMORE BLVD
PITTSBURGH, PA 15221

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 Todd Zimmerman's NPI number?

The NPI number for Todd Zimmerman is 1699756874. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Todd Zimmerman located?

Todd Zimmerman practices at 1713 Ardmore Blvd, Pittsburgh, PA 15221. The listed phone number is (412) 247-3222.

What is Todd Zimmerman's specialty?

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

Is Todd Zimmerman enrolled in Medicare?

Yes. Todd 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.

Is Todd Zimmerman affiliated with any hospitals?

According to CMS data, Todd Zimmerman is affiliated with Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Todd Zimmerman was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.