PETER J ZIMETBAUM M.D.
NPI 1932131463
Internal Medicine - Clinical Cardiac Electrophysiology in Boston, MA
NPI Status: Active since July 07, 2006
Contact Information
185 PILGRIM RD
BAKER 4
BOSTON, MA
ZIP 02215
Phone: (617) 632-7458
- Individual
- Male
- Years of Experience 36
- Internal Medicine
- Clinical Cardiac Electrophysiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PETER ZIMETBAUM
This page provides the complete NPI Profile along with additional information for Peter Zimetbaum, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in clinical cardiac electrophysiology and more than 36 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1990. The healthcare provider is registered in the NPI registry with number 1932131463 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0001X with license number 75951 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1932131463
- Provider Name
- PETER J ZIMETBAUM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 185 PILGRIM RD BAKER 4 BOSTON, MA 02215
- Location Phone
- (617) 632-7458
- Mailing Address
- 1090 WALNUT ST NEWTON, MA 02461
- Mailing Phone
- (617) 632-7458
- Medical School Name
- ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 12-14-2018
- Code Navigator
An internist like Peter Zimetbaum is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Clinical Cardiac Electrophysiology
- Taxonomy Code
- 207RC0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 75951
- License State
- MA
- Taxonomy Description
- A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 75951 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Peter Zimetbaum is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Peter Zimetbaum 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
PECOS PAC ID: 9133156649
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050726000610
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Evaluation of cardiac rhythm monitor system, remote up to 30 days
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
External shock to heart to regulate heart beat
Heart rhythm review and interpretation of continous external ekg over 8-15 days
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
Initial hospital inpatient care per day, typically 50 minutes
Insertion of implantable defibrillator system
Insertion of left lower heart electrode for pacemaker or defibrillator
Insertion of pacemaker and upper and lower heart chamber electrode
New patient office or other outpatient visit, 45-59 minutes
Pacemaker insertion or repair
Programming of dual lead implantable defibrillator system
Programming of dual lead pacemaker system
Programming of multiple lead implantable defibrillator system
Programming of multiple lead pacemaker system
Removal and replacement of dual lead permanent pacemaker
Removal of defibrillator
Removal of dual electrodes from right heart
Removal of permanent pacemaker pulse generator
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
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.
This service was performed 550 times for 494 patientsThis procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
This service was performed 510 times for 91 patientsThis procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
This service was performed 466 times for 252 patientsThis procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
This service was performed 310 times for 151 patientsThis procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.
This service was performed 14 times for 14 patientsThis service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
This service was performed 889 times for 852 patientsA heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
This service was performed 223 times for 215 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 35 times for 35 patientsThe insertion of an implantable defibrillator system is a procedure to manage irregular heart rhythms. A small device is placed under your skin, which monitors your heart rate. If it detects an abnormal rhythm, it sends an electrical pulse to restore normal heartbeat.
This service was performed 29 times for 29 patientsThe procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.
This service was performed 15 times for 15 patientsA pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
This service was performed 41 times for 41 patientsThis 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.
This service was performed 118 times for 118 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 84 patientsProgramming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.
This service was performed 18 times for 16 patientsProgramming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
This service was performed 63 times for 54 patientsProgramming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
This service was performed 22 times for 18 patientsProgramming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.
This service was performed 13 times for 13 patientsThis procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.
This service was performed 23 times for 23 patientsThe removal of a defibrillator is a surgical procedure where a device, implanted near the heart to monitor and correct irregular heart rhythms, is taken out. This might be needed due to device malfunction, infection, or battery depletion. The procedure is performed by a specialist under anesthesia.
This service was performed 12 times for 12 patientsThis procedure involves the careful extraction of two electrodes previously placed in the right side of your heart. These electrodes may have been used for monitoring or treatment purposes. The removal is done by a medical specialist to ensure safety.
This service was performed 14 times for 14 patientsThe removal of a permanent pacemaker pulse generator is a procedure done when your pacemaker is no longer functioning properly. It involves a minor surgery where the old device is taken out and often replaced with a new one to help regulate your heart's rhythm.
This service was performed 14 times for 14 patientsA 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.
This service was performed 481 times for 445 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 53 times for 53 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
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 02215 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Peter Zimetbaum is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | 148 CHESTNUT STREET NEEDHAM, MA 02494 | (781) 453-3002 | Acute Care Hospitals | |
BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVENUE BOSTON, MA 02215 | (617) 667-7000 | Acute Care Hospitals | |
NEWTON-WELLESLEY HOSPITAL | 2014 WASHINGTON STREET NEWTON, MA 02462 | (617) 243-6000 | Acute Care Hospitals | |
BETH ISRAEL DEACONESS HOSPITAL - MILTON | 199 REEDSDALE ROAD MILTON, MA 02186 | (617) 696-4600 | Acute Care Hospitals | |
BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 02115 | (617) 732-5500 | Acute Care Hospitals |
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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 | 9 | 3 | 2 | 1 | 3 | 1 | 4 | 6 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 6 | 2 | 2 | 3 | 2 | 4 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 6 + 2 + 2 + 3 + 2 + 4 + 1 + 2 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1932131463 is valid because the calculated check digit 3 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.
DR. JOHN DANZIGER M.D.
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ZIP 02215
JONATHAN FLORMAN M.D.
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THANH L DINH DPM
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DIVISION OF PODIATRY
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DR. ELIZABETH ROSS DUNN M.D.
Psychiatry & Neurology
(Psychiatry)
185 PILGRIM RD
BIDMC, DEACONESS 1
BOSTON, MA
ZIP 02215
JOHN M GIURINI DPM
Podiatrist
185 PILGRIM RD
DIVISION OF PODIATRY
BOSTON, MA
ZIP 02215
BARRY I ROSENBLUM DPM
Podiatrist
185 PILGRIM RD
DIVISION OF PODIATRY
BOSTON, MA
ZIP 02215
THOMAS E LYONS DPM
Podiatrist
185 PILGRIM RD
DIVISION OF PODIATRY
BOSTON, MA
ZIP 02215
MRS. OLGA-LARRINE LEVINE L.I.C.S.W.
Social Worker
(Clinical)
185 PILGRIM RD
#220
BOSTON, MA
ZIP 02215
PAUL HANS M.D.
Psychiatry & Neurology
(Psychiatry)
185 PILGRIM RD
BOSTON, MA
ZIP 02215
MARY R BURGER M.D.
Pediatrics
185 PILGRIM RD
DEACONESS 307A
BOSTON, MA
ZIP 02215
MR. TIMOTHY C. WILLIAMS LICSW
Social Worker
(Clinical)
185 PILGRIM RD
BOSTON, MA
ZIP 02215
ANNEMARIE ANAGNOSTOPOULOS MD
Internal Medicine
(Cardiovascular Disease)
185 PILGRIM RD
WEST CAMPUS, BAKER 4
BOSTON, MA
ZIP 02215
C BRUCE MCWHORTER MSW
Social Worker
(Clinical)
185 PILGRIM RD
BOSTON, MA
ZIP 02215
MS. MARIE C BOSAK NP
Nurse Practitioner
(Acute Care)
185 PILGRIM RD
BAKER 4
BOSTON, MA
ZIP 02215
MRS. CAROL A CONNOLLY NP
Nurse Practitioner
185 PILGRIM RD
BAKER 4, CARDIOLOGY
BOSTON, MA
ZIP 02215
DEIRDRE MARIE KEOGH NP
Nurse Practitioner
(Acute Care)
185 PILGRIM RD
DEACONESS 201
BOSTON, MA
ZIP 02215
MR. EVAN ROSS BERG M.D.
Student in an Organized Health Care Education/Training Program
185 PILGRIM RD
DEACONESS 311
BOSTON, MA
ZIP 02215
ERIK EDUARDO FOLCH MD, MSC
Internal Medicine
(Pulmonary Disease)
185 PILGRIM RD
DEAC 201
BOSTON, MA
ZIP 02215
SALEH ALAZEMI
Student in an Organized Health Care Education/Training Program
185 PILGRIM RD
DEACONESS SUITE 116
BOSTON, MA
ZIP 02215
PATRICIA EILEEN PACETTI NP
Nurse Practitioner
185 PILGRIM RD
BETH ISRAEL DEACONESS MEDICAL CENTER
BOSTON, MA
ZIP 02215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932131463, enumerated as an "individual" on July 07, 2006.
The provider is located at 185 PILGRIM RD BAKER 4 BOSTON, MA 02215 and the phone number is (617) 632-7458.
Internal Medicine with taxonomy code 207RC0001X and a focus in Clinical Cardiac Electrophysiology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
Peter Zimetbaum is affiliated with: BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS MEDICAL CENTER, NEWTON-WELLESLEY HOSPITAL, BETH ISRAEL DEACONESS HOSPITAL - MILTON and BRIGHAM AND WOMEN'S HOSPITAL.