RYAN ZIMMERMAN D.O.
NPI 1861835241
Internal Medicine in West Reading, PA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611(484) 628-8470 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Zimmerman D.o. NPPES

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

RYAN ZIMMERMAN D.O. (NPI 1861835241) is an individual internal medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (OT015116) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861835241
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRYAN ZIMMERMANCredential: D.O.
Location Address6TH AVENUE & SPRUCE STREETWest Reading, PA 19611
Mailing Address50 Commerce DrWyomissing, PA 19610-3335 · (610) 372-8044
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2013
NPI 1861835241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OT015116
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6TH AVENUE & SPRUCE STREET, West Reading, PA 19611

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

Ryan Zimmerman D.o. 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 ID9032400973
PECOS Enrollment IDI20160623000502
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

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.

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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

Referred Medical Equipment & Supplies CMS DME claims 10

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
16 suppliers58 claims155 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims23 services$0.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$58.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims58 services$2.27 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$53.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.20 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 20

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

Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Physician Assistant (Medical)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Social Worker
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychiatry & Neurology (Psychiatry)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
READING, PA 19611
Obstetrics & Gynecology
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
WEST READING, PA 19611

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 Ryan Zimmerman's NPI number?

The NPI number for Ryan Zimmerman is 1861835241. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Ryan Zimmerman located?

Ryan Zimmerman practices at 6th Avenue & Spruce Street, West Reading, PA 19611. The listed phone number is (484) 628-8470.

What is Ryan Zimmerman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Zimmerman enrolled in Medicare?

Yes. Ryan 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 Ryan Zimmerman affiliated with any hospitals?

According to CMS data, Ryan Zimmerman is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Zimmerman was last updated on April 16, 2013. 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.