DR. MATTHEW ZIMMERMAN D.O.
NPI 1952716169
Hospitalist in Smyrna, TN

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
200 STONECREST BLVD, SMYRNA, TN 37167(615) 768-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 31, 2017 (3 updates tracked since 2017).

About Dr. Matthew Zimmerman D.o. NPPES

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

DR. MATTHEW ZIMMERMAN D.O. (NPI 1952716169) is an individual hospitalist provider in Smyrna, Tennessee, licensed in Tennessee (DO0000003190) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1952716169
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MATTHEW ZIMMERMANCredential: D.O.
Location Address200 STONECREST BLVDSmyrna, TN 37167-6810
Mailing Address200 Stonecrest BlvdSmyrna, TN 37167-6810 · (615) 768-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1952716169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TN · DO0000003190
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License UO 4187 (FL), DO0000003190 (TN)
200 STONECREST BLVD, Smyrna, TN 37167

Secondary Practice Location 1

Location 16000 49th St NSt Petersburg, FL 33709-2114 · Phone (727) 521-5411

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

Dr. Matthew 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 ID5890066450
PECOS Enrollment IDI20170801002024
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 4

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.

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.
308 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
202 services192 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.
185 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%206 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

Hospitalist
200 STONECREST BLVD
SMYRNA, TN 37167
Physician Assistant
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Specialist
200 STONECREST BLVD
SMYRNA, TN 37167
Psychiatric Unit
200 STONECREST BLVD
SMYRNA, TN 37167

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 Matthew Zimmerman's NPI number?

The NPI number for Matthew Zimmerman is 1952716169. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Matthew Zimmerman located?

Matthew Zimmerman practices at 200 Stonecrest Blvd, Smyrna, TN 37167. The listed phone number is (615) 768-2000.

What is Matthew Zimmerman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Matthew Zimmerman enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Zimmerman accept?

Health plans from Oscar Insurance Company list Matthew Zimmerman 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 Matthew Zimmerman affiliated with any hospitals?

According to CMS data, Matthew Zimmerman is affiliated with Sumner Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Zimmerman was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.