ROSS R ZIMMER MD
NPI 1750313078
Nuclear Medicine - Nuclear Cardiology in Philadelphia, PA

Q: What is Ross Zimmer's NPI number?

The NPI number for Ross Zimmer is 1750313078. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Ross Zimmer's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Q: When was this NPI record last updated?

The NPPES record for Ross Zimmer was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

79.93/100

CMS Quality Rating

39TH AND MARKET ST, 4 PHI, PHILADELPHIA, PA 19104(215) 662-9189(215) 243-4612 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ross R Zimmer Md NPPES

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

ROSS R ZIMMER MD (NPI 1750313078) is an individual nuclear cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD045305L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Virtua Mount Holly Hospital, and is a graduate of Temple University School Of Medicine (1989).

NPPES Registry Identity

NPI1750313078

Entity TypeIndividualMale

Primary Taxonomy207UN0901X

Provider Legal NameROSS R ZIMMERCredential: MD

Location Address39TH AND MARKET ST, 4 PHIPhiladelphia, PA 19104

Mailing Address3624 Market St, Ste 560w Uphs Office Of Medical AffairsPhiladelphia, PA 19104 · (215) 662-2286 · Fax (215) 243-4612

Phone(215) 662-9189

Fax(215) 243-4612

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1989

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 29, 2012

✔ NPI 1750313078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207UN0901X

License✔ Licensed in PA · MD045305L

Definition

A nuclear medicine physician who specializes in nuclear cardiology.

39TH AND MARKET ST, Philadelphia, PA 19104

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Other Identifiers 3

Medicare UPINF59545

Medicaid0014152510006PA

Medicare ID-Type Unspecified003776PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Ross R Zimmer 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 ID8426097007

PECOS Enrollment IDI20050503000618, I20110204000476

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 12

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.

367 services259 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

298 services229 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

251 services193 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

232 services217 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

60 services27 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services16 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

48 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.

19 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

79.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.51

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

DAVID E NICKLIN MD

Family Medicine

39TH AND MARKET ST, 7TH FLOOR MUTCH BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

JOSEPH J GALLO MD

Family Medicine

39TH AND MARKET ST, 7TH FLOOR MUTCH BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

LAURENCE J GAVIN MD

Emergency Medicine

39TH AND MARKET ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6963

ALAN S MOAK MD

Internal Medicine (Interventional Cardiology)

39TH AND MARKET ST, 4 PHI
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9000

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 Ross Zimmer's NPI number?

The NPI number for Ross Zimmer is 1750313078. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Ross Zimmer located?

Ross Zimmer practices at 39th And Market St 4 Phi, Philadelphia, PA 19104. The listed phone number is (215) 662-9189.

What is Ross Zimmer's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Is Ross Zimmer enrolled in Medicare?

Yes. Ross Zimmer 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 Ross Zimmer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ross 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.

Is Ross Zimmer affiliated with any hospitals?

According to CMS data, Ross Zimmer is affiliated with Virtua Mount Holly Hospital, Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Ross Zimmer was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.