DR. PAUL H ZIMMERING M.D,
NPI 1750302816
Orthopaedic Surgery in Wallingford, CT
NPI Status: Active since July 22, 2006
Contact Information
85 BARNES RD
WALLINGFORD, CT
ZIP 06492
Phone: (203) 265-3280
Fax: (203) 741-6569
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
About PAUL ZIMMERING
This page provides the complete NPI Profile along with additional information for Paul Zimmering, a provider established in Wallingford, Connecticut with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1750302816 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number 025507 (CT). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1750302816
- Provider Name
- DR. PAUL H ZIMMERING M.D,
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 85 BARNES RD WALLINGFORD, CT 06492
- Location Phone
- (203) 265-3280
- Location Fax
- (203) 741-6569
- Mailing Address
- 85 BARNES RD WALLINGFORD, CT 06492
- Mailing Phone
- (203) 265-3280
- Mailing Fax
- (203) 741-6569
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 05-29-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 025507
- License State
- CT
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6024130001 | MEDICARE NSC (07) | CT | |
| 001255074 | MEDICAID (05) | CT | |
| B37819 | MEDICARE UPIN (02) | ||
| 200000855 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Paul Zimmering is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06492 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.86
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $23.46
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 0 | 2 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 0 | 4 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 0 + 4 + 8 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1750302816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JASON STUART KIRK PT
Physical Therapist
85 BARNES RD
SUITE 109
WALLINGFORD, CT
ZIP 06492
KEVIN L. RAFFERTY PT
Physical Therapist
85 BARNES RD
STE 109
WALLINGFORD, CT
ZIP 06492
MRS. KRISTIN MARY CLOUSER PT
Physical Therapist
85 BARNES RD
STE 109
WALLINGFORD, CT
ZIP 06492
KRISTINA RIDNERT P.T.
Physical Therapist
85 BARNES RD
SUITE 304
WALLINGFORD, CT
ZIP 06492
GINA MORGENSTEIN P.A.
Physician Assistant
85 BARNES RD
WALLINGFORD, CT
ZIP 06492
DR. JOHN W REDMOND MD
Ophthalmology
85 BARNES RD
SUITE 102
WALLINGFORD, CT
ZIP 06492
EYE HEALTH PROFESSIONALS, P.C.
Ophthalmology
85 BARNES RD
SUITE 102
WALLINGFORD, CT
ZIP 06492
DR. JOHN PETER CALATAYUD D.C.
Chiropractor
85 BARNES RD
SUITE 101
WALLINGFORD, CT
ZIP 06492
LAURA ELLEN BERGER DDS
Dentist
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
RENEE SCATTON LO
Technician/Technologist
(Optician)
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
CALATAYUD CHIROPRACTIC CENTER, PC
Chiropractor
85 BARNES RD
SUITE 101
WALLINGFORD, CT
ZIP 06492
HEALTHDRIVE BEHAVIORAL HEALTH, LLC
Social Worker
(Clinical)
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
SUSAN J. CHIN CCC-A
Audiologist
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
JULIE C VANDERKROEF RDH
Dental Hygienist
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
JUDITH ANN NIST RDH
Dental Hygienist
85 BARNES RD
SUITE 207
WALLINGFORD, CT
ZIP 06492
NUTMEG ORTHOTICS AND PROSTHETICS LLC
Prosthetic/Orthotic Supplier
85 BARNES RD
SUITE 302
WALLINGFORD, CT
ZIP 06492
BRIAN SNIFFIN DPT
Physical Therapist
85 BARNES RD
WALLINGFORD, CT
ZIP 06492
MRS. TIRZAH GRACE ANTOINE PT
Physical Therapist
85 BARNES RD
SUITE 109
WALLINGFORD, CT
ZIP 06492
MS. MARY LYNN CLARK PT
Physical Therapist
85 BARNES RD
SUITE 109
WALLINGFORD, CT
ZIP 06492
DOCAXT, INC
Orthopaedic Surgery
85 BARNES RD
SUITE 301
WALLINGFORD, CT
ZIP 06492
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750302816, enumerated as an "individual" on July 22, 2006.
The provider is located at 85 BARNES RD WALLINGFORD, CT 06492 and the phone number is (203) 265-3280.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
