Active NPI 1215974894 Individual Practitioner Male Practitioner

Dr. John F Zimmerman , MD

Internal Medicine • Lewes, DE

Professional Overview & Biography Verified Profile Summary

Dr. John Zimmerman, MD is a registered healthcare professional specializing in Internal Medicine in Lewes, DE. Practice services are available at 301 OCEAN VIEW BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 Ocean View Blvd

Lewes, DE 199581269

Telephone 4105482343

Fax 8443323891

Associated Practice Facility / Clinic

🏢 Delaware Health Corporation Facility NPI 1366442667

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lewes, DE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

44 Specialists

Practicing in Lewes, DE (625 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

0.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	930	313	$94.86	$94.43
99306 Initial nursing facility visit, typically 45 minutes per day	348	292	$172.00	$173.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	323	125	$95.00	$94.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	151	102	$70.54	$70.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	29	$72.00	$71.90
99316 Nursing facility discharge management, more than 30 minutes	19	19	$110.00	$108.17
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$135.00	$134.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	673	248	$96.16	$93.20
99306 Initial nursing facility visit, typically 45 minutes per day	414	352	$173.93	$169.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	224	132	$72.68	$70.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	65	$95.00	$93.08
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	64	59	$136.50	$132.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	26	$46.54	$44.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	22	$72.00	$69.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	13	$143.19	$137.74
99306 Initial nursing facility visit, typically 45 minutes per day	12	11	$172.00	$169.38
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$78.45	$74.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	662	278	$95.00	$93.39
99306 Initial nursing facility visit, typically 45 minutes per day	360	323	$173.00	$169.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	359	172	$72.00	$70.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	131	118	$135.00	$132.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	88	71	$47.00	$45.33
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	13	$141.00	$138.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	628	401	$130.00	$72.01
36415 Insertion of needle into vein for collection of blood sample	597	416	$7.50	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	485	362	$27.50	$10.41
80053 Blood test, comprehensive group of blood chemicals	477	371	$53.00	$11.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	275	$192.00	$106.34
80061 Blood test, lipids (cholesterol and triglycerides)	297	255	$56.50	$10.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	273	173	$95.00	$89.88
82550 Creatine kinase (cardiac enzyme) level, total	211	185	$39.00	$6.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$140.00	$113.42
81001 Manual urinalysis test with examination using microscope, automated	180	156	$18.00	$4.24
83036 Hemoglobin A1C level	148	109	$43.50	$12.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	145	135	$135.00	$128.15
85610 Blood test, clotting time	137	31	$20.00	$5.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	130	99	$72.00	$67.95
84443 Blood test, thyroid stimulating hormone (TSH)	113	97	$62.00	$22.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	111	41	$38.00	$19.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	49	$130.00	$71.34
80048 Blood test, basic group of blood chemicals (calcium, total)	98	82	$45.50	$11.16
81003 Automated urinalysis test	77	76	$14.50	$3.02
99306 Initial nursing facility visit, typically 45 minutes per day	64	60	$173.00	$163.98
82043 Urine microalbumin (protein) level	64	62	$22.50	$7.65
82570 Creatinine level to test for kidney function or muscle injury	64	62	$37.00	$6.85
82306 Vitamin d-3 level	56	56	$50.00	$39.80
84439 Thyroxine (thyroid chemical), free	50	44	$38.50	$12.12
G0009 Administration of pneumococcal vaccine	49	49	$40.00	$24.99
90670 Pneumococcal vaccine for injection into muscle	46	46	$198.00	$183.36
77080 Dxa bone density measurement of hip, pelvis, spine	44	44	$250.00	$40.21
99239 Hospital discharge day management, more than 30 minutes	42	34	$190.00	$106.31
84550 Uric acid level, blood	41	38	$23.50	$3.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	27	$187.00	$103.12
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	32	27	$20.00	$4.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$78.00	$43.07
83735 Magnesium level	26	23	$37.00	$9.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	23	16	$150.00	$90.54
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$77.00	$24.73
99495 Transitional care management services for problem of at least moderate complexity	21	21	$242.00	$160.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$102.75	$53.05
84153 Psa (prostate specific antigen) measurement, total	15	14	$77.00	$24.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$260.00	$143.37
83540 Iron level	12	11	$35.00	$8.70

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0012226

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MD D83821

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License VA 0101233779

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1215974894 (VA)

Commercial Insurance / Payer ID Anthem

465493 (VA)

Commercial Insurance / Payer ID Aetna

4478445 (VA)

Commercial Insurance / Payer ID Southern Health

325908 (VA)

Commercial Insurance / Payer ID Cigna

1060654 (VA)

Commercial Insurance / Payer ID Railroad Medicare

110248478 (VA)

Secondary Practice Locations

4461 Starkey Road, Suite 201

Roanoke, VA 24018

Phone: 5403454946

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Messanvi Gozo , CRNP

Nurse Practitioner - Adult Health

NPI 1003311630

Certified Registered Nurse Practitioner

Pennie Savage , CRNP

Nurse Practitioner - Family

NPI 1013097583

Certified Registered Nurse Practitioner

John Hancock , CRNP, AGNP-C

Nurse Practitioner - Primary Care

NPI 1063909398

Certified Registered Nurse Practitioner, Adult-Gerontology Nurse Practitioner (Certified)

Laura Cerreta

Nurse Practitioner - Gerontology

NPI 1144061763

Jane Longest , PA

Physician Assistant

NPI 1194041590

Physician Assistant

Paulette Brauer

Nurse Practitioner - Family

NPI 1295703163

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #D83821 in MD)

✅

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2017

Registered at 301 OCEAN VIEW BLVD, LEWES, DE 199581269 (Tel: 4105482343)

📍

Updated Business Mailing Address September 08, 2017

Registered at 301 OCEAN VIEW BLVD, LEWES, DE 199581269 (Tel: (410) 548-2343)

👤

Provider Name / Credentials Updated September 08, 2017

Recorded as JOHN ZIMMERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Internal Medicine (License #D83821 in MD)

✅

NPI Profile Active April 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2011

Registered at 4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018 (Tel: 5403454946)

📍

Updated Business Mailing Address April 05, 2011

Registered at 4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018 (Tel: 5403454946)

👤

Provider Name / Credentials Updated April 05, 2011

Recorded as JOHN ZIMMERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2011

Internal Medicine (License #0101233779 in VA)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215974894

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 Ocean View Blvd

Lewes, DE 199581269

Phone: 4105482343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.