LEE A ZIMMER M.D.
NPI 1871537720
Otolaryngology in Cincinnati, OH

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
4750 E GALBRAITH RD STE 215, CINCINNATI, OH 45236(513) 936-0500(513) 936-0600 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2017, Nov 20, 2015 (2 updates tracked since 2015).

About Lee A Zimmer M.d. NPPES

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

LEE A ZIMMER M.D. (NPI 1871537720) is an individual otolaryngology provider in Cincinnati, Ohio, licensed in Ohio (35086659) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of University Of Maryland School Of Medicine (1999).

NPPES Registry Identity

NPI1871537720
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameLEE A ZIMMERCredential: M.D.
Location Address4750 E GALBRAITH RD STE 215Cincinnati, OH 45236
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5507 · Fax (513) 585-5511
Fax(513) 936-0600
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1999
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 8, 20182 updates tracked since enumeration
NPI 1871537720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 35086659
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4750 E GALBRAITH RD STE 215, Cincinnati, OH 45236

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

Lee A Zimmer 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 ID5496741183
PECOS Enrollment IDI20050822000438
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 13

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.
94 services76 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.
73 services73 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
62 services48 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.
45 services38 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
43 services21 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
40 services30 patients

Hospital Affiliations CMS Care Compare 4

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Acute Care)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Nurse Practitioner (Gerontology)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Surgery (Vascular Surgery)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Physician Assistant
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4750 E GALBRAITH RD STE 215
CINCINNATI, OH 45236

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 Lee Zimmer's NPI number?

The NPI number for Lee Zimmer is 1871537720. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Lee Zimmer located?

Lee Zimmer practices at 4750 E Galbraith Rd Ste 215, Cincinnati, OH 45236. The listed phone number is (513) 936-0500.

What is Lee Zimmer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Lee Zimmer enrolled in Medicare?

Yes. Lee 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 Lee Zimmer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Lee 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 Lee Zimmer affiliated with any hospitals?

According to CMS data, Lee Zimmer is affiliated with The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Lee Zimmer was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.