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DR. MICHAEL JOHN ZIMMER M.D.
NPI 1881825743
Family Medicine in Eatontown, NJ

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment
135 HIGHWAY 35, EATONTOWN, NJ 07724(848) 308-5309(732) 212-6399 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael John Zimmer M.d. NPPES

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

DR. MICHAEL JOHN ZIMMER M.D. (NPI 1881825743) is an individual family medicine provider in Eatontown, New Jersey, licensed in Michigan (4301094070) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1881825743
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL JOHN ZIMMERCredential: M.D.
Location Address135 HIGHWAY 35Eatontown, NJ 07724-1813
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(848) 308-5309
Fax(732) 212-6399
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 27, 2009
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1881825743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301094070
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.
135 HIGHWAY 35, Eatontown, NJ 07724
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Other Identifiers 1

Other320035325MI · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael John 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 ID2961659859
PECOS Enrollment IDI20240927001855
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Zimmer reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Primary Care PC
3.4 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Medexpress Urgent Care, PC - Pennsylvania
69 mi
Urgent Care
30 S WEST END BLVD
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1801243340 (215) 538-6127
Medexpress Urgent Care, PC - Virginia
230 mi
Urgent Care
207 GATEWAY DRIVE
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1386989689 (540) 535-1029
Henry Ford Health System
491 mi
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600
Dwic Of Tampa Bay, Inc
805 mi
Urgent Care
11985 ATLANTIC BOULEVARD
Jacksonville, FL 32225
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1922525229 (904) 642-1217

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 10

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

EMILY ANN HAYDEN DO
Family Medicine
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-5309
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
Physical Therapist
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4911
CHRISTOPHER MICHAEL LESNIAK DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4924
DR. SHEILA PEREZ-STEELE M.D.
Internal Medicine
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (732) 696-7654
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Pharmacy (Community/Retail Pharmacy)
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4950
KATE MIRANDA BOURKE RD
Dietitian, Registered
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (885) 660-4325
GEANELLA VERA-AVELLAN RDN
Dietitian, Registered
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (848) 308-4920
ALEXA MARTUCCI SLP
Speech-Language Pathologist
135 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (855) 660-4325

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 Michael Zimmer's NPI number?

The NPI number for Michael Zimmer is 1881825743. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Michael Zimmer located?

Michael Zimmer practices at 135 Highway 35, Eatontown, NJ 07724. The listed phone number is (848) 308-5309.

What is Michael Zimmer's specialty?

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

Is Michael Zimmer enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Zimmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Zimmer reassigns Medicare benefits to 5 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Medexpress Urgent Care, PC - Pennsylvania (Quakertown, PA), Medexpress Urgent Care, PC - Virginia (Winchester, VA), Henry Ford Health System (Detroit, MI) and Dwic Of Tampa Bay, Inc (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Zimmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Zimmer accept?

Health plans from Oscar Health list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Zimmer was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.