Active NPI 1710931480 Individual Practitioner Male Practitioner

Brian S Zimmerman , PA

Physician Assistant • Clinton, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Zimmerman, PA is a certified Physician Assistant practicing in Clinton, IA. With approximately 25 years of clinical experience since completing medical education in 2001, Brian Zimmerman delivers high-quality medical care to the local community at 915 13TH AVE N.

Brian Zimmerman is affiliated with Mercy Specialty Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, simple insertion of temporary bladder tube. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 13th Ave N

Clinton, IA 527325067

Telephone 5632432511

Fax 5632430817

Associated Practice Facility / Clinic

🏢 Mercy Home Care & Hospice-Clinton Facility NPI 1407842552

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clinton, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Clinton, IA (1543 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zimmerman (25 Years) 25 Yrs

Clinton Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	342	$218.00	$76.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	430	348	$46.00	$13.00
51702 Simple insertion of temporary bladder tube	165	28	$409.00	$19.47
36415 Insertion of needle into vein for collection of blood sample	145	130	$37.00	$8.65
81001 Manual urinalysis test with examination using microscope, automated	132	123	$62.00	$3.11
99213 Established patient office or other outpatient visit, typically 15 minutes	105	101	$146.00	$51.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$328.00	$104.29
52000 Diagnostic exam of bladder and urethra using an endoscope	48	42	$679.00	$61.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	15	$59.00	$6.90
51700 Simple bladder irrigation and/or instillation	18	15	$417.00	$23.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$229.00	$63.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$290.00	$112.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	337	$218.00	$77.47
81001 Manual urinalysis test with examination using microscope, automated	145	127	$62.00	$3.11
51702 Simple insertion of temporary bladder tube	134	20	$409.00	$19.58
36415 Insertion of needle into vein for collection of blood sample	115	107	$37.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	108	98	$146.00	$52.38
52000 Diagnostic exam of bladder and urethra using an endoscope	50	50	$679.00	$62.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$328.00	$105.48
11721 Removal of fingernails or toenails, 6 or more nails	32	32	$120.00	$18.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	15	$59.00	$7.05
51700 Simple bladder irrigation and/or instillation	13	12	$417.00	$23.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	349	$218.00	$79.78
81001 Manual urinalysis test with examination using microscope, automated	190	166	$62.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	186	159	$146.00	$54.13
36415 Insertion of needle into vein for collection of blood sample	163	146	$37.00	$2.96
51702 Simple insertion of temporary bladder tube	154	25	$409.00	$20.37
84153 Psa (prostate specific antigen) measurement, total	123	113	$154.00	$18.21
52000 Diagnostic exam of bladder and urethra using an endoscope	56	55	$679.00	$64.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$328.00	$109.02
84154 Psa (prostate specific antigen) measurement, free	35	32	$121.00	$18.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	22	$59.00	$7.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$229.00	$67.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	360	$213.75	$81.27
51702 Simple insertion of temporary bladder tube	153	26	$401.37	$20.47
99213 Established patient office or other outpatient visit, typically 15 minutes	142	134	$142.79	$55.00
84153 Psa (prostate specific antigen) measurement, total	114	88	$150.89	$18.23
36415 Insertion of needle into vein for collection of blood sample	102	78	$36.46	$2.97
81001 Manual urinalysis test with examination using microscope, automated	93	77	$60.95	$3.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$321.65	$110.63
52000 Diagnostic exam of bladder and urethra using an endoscope	51	50	$663.20	$64.98
84154 Psa (prostate specific antigen) measurement, free	40	26	$117.75	$18.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	20	$57.92	$7.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$224.80	$67.77
51700 Simple bladder irrigation and/or instillation	12	11	$411.67	$24.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	275	$210.00	$65.01
99213 Established patient office or other outpatient visit, typically 15 minutes	209	165	$140.00	$42.34
51702 Simple insertion of temporary bladder tube	145	28	$393.00	$21.30
81001 Manual urinalysis test with examination using microscope, automated	140	114	$60.00	$3.13
84153 Psa (prostate specific antigen) measurement, total	114	94	$148.00	$18.19
36415 Insertion of needle into vein for collection of blood sample	104	84	$36.00	$2.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$315.00	$106.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$210.00	$87.87
52000 Diagnostic exam of bladder and urethra using an endoscope	39	38	$653.00	$67.13
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$140.00	$60.21
84154 Psa (prostate specific antigen) measurement, free	31	25	$116.00	$18.22
51702 Simple insertion of temporary bladder tube	19	16	$393.00	$48.89
51700 Simple bladder irrigation and/or instillation	17	16	$401.00	$24.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.00	$62.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,300	18	$1.50	$0.12
81001 Manual urinalysis test with examination using microscope, automated	847	529	$46.20	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	492	388	$198.42	$87.00
36415 Insertion of needle into vein for collection of blood sample	479	366	$24.56	$2.93
84153 Psa (prostate specific antigen) measurement, total	439	349	$116.61	$20.03
99213 Established patient office or other outpatient visit, typically 15 minutes	333	246	$145.14	$59.70
87086 Bacterial colony count, urine	222	140	$57.22	$8.70
51702 Simple insertion of temporary bladder tube	174	42	$393.00	$49.49
51798 Ultrasound measurement of bladder capacity after voiding	145	109	$145.00	$11.57
87088 Bacterial urine culture	129	85	$31.00	$8.81
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	128	84	$48.77	$9.42
84154 Psa (prostate specific antigen) measurement, free	122	93	$106.16	$20.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$303.17	$131.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	12	$54.08	$13.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	104	13	$2781.54	$224.53
52000 Diagnostic exam of bladder and urethra using an endoscope	87	86	$653.00	$65.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	21	$78.00	$24.52
82565 Blood creatinine level	42	37	$41.05	$5.46
74018 X-ray of abdomen, 1 view	38	35	$69.26	$16.47
84520 Urea nitrogen level to assess kidney function	35	31	$35.71	$4.30
51700 Simple bladder irrigation and/or instillation	31	23	$401.00	$58.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$201.88	$86.59
55700 Biopsy of prostate gland	24	24	$808.00	$200.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$143.00	$45.95
76872 Ultrasound scan of pelvic region through rectum	24	24	$147.00	$101.91
74176 Ct scan of abdomen and pelvis without contrast	20	20	$420.00	$103.25
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$1050.00	$237.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$86.00	$35.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$53.77	$18.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,900	20	$1.50	$0.12
81001 Manual urinalysis test with examination using microscope, automated	792	533	$35.95	$3.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	392	$188.00	$85.39
36415 Insertion of needle into vein for collection of blood sample	422	339	$16.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	393	322	$96.00	$22.26
99213 Established patient office or other outpatient visit, typically 15 minutes	352	259	$134.32	$57.58
87086 Bacterial colony count, urine	298	170	$53.00	$9.73
87088 Bacterial urine culture	199	122	$31.00	$9.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	198	122	$46.00	$10.46
51798 Ultrasound measurement of bladder capacity after voiding	170	118	$152.72	$14.16
51702 Simple insertion of temporary bladder tube	165	43	$393.00	$50.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	151	18	$60.00	$16.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	112	11	$2433.00	$212.49
84154 Psa (prostate specific antigen) measurement, free	94	71	$101.00	$22.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$290.00	$129.26
52000 Diagnostic exam of bladder and urethra using an endoscope	58	57	$653.00	$66.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	18	$78.00	$24.15
51700 Simple bladder irrigation and/or instillation	37	27	$401.00	$58.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$191.00	$83.63
74018 X-ray of abdomen, 1 view	30	27	$68.00	$16.24
82565 Blood creatinine level	30	28	$37.00	$6.20
84520 Urea nitrogen level to assess kidney function	28	27	$36.00	$4.78
74176 Ct scan of abdomen and pelvis without contrast	24	24	$427.63	$102.79
55700 Biopsy of prostate gland	17	17	$808.00	$198.18
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$145.00	$47.71
76872 Ultrasound scan of pelvic region through rectum	17	17	$147.94	$76.59
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$1050.00	$225.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$83.00	$34.67
76770 Complete ultrasound scan behind abdominal cavity	11	11	$342.00	$69.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,750	20	$1.50	$0.12
81001 Manual urinalysis test with examination using microscope, automated	835	526	$36.00	$4.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	448	$188.00	$84.94
36415 Insertion of needle into vein for collection of blood sample	416	319	$16.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	382	298	$96.00	$24.73
87086 Bacterial colony count, urine	344	187	$53.00	$10.85
99213 Established patient office or other outpatient visit, typically 15 minutes	258	216	$130.00	$57.41
87088 Bacterial urine culture	223	124	$31.00	$10.88
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	223	124	$46.00	$11.62
51702 Simple insertion of temporary bladder tube	138	36	$393.00	$49.26
51798 Ultrasound measurement of bladder capacity after voiding	138	102	$145.46	$17.23
84154 Psa (prostate specific antigen) measurement, free	123	86	$101.00	$24.73
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	116	12	$2195.90	$209.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	113	12	$60.00	$19.90
52000 Diagnostic exam of bladder and urethra using an endoscope	76	76	$653.00	$81.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$290.00	$129.89
51700 Simple bladder irrigation and/or instillation	38	18	$401.00	$57.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	15	$78.00	$25.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$191.00	$84.97
74000 X-ray of abdomen, single view	31	28	$68.00	$12.91
82565 Blood creatinine level	29	24	$37.00	$3.19
74176 Ct scan of abdomen and pelvis without contrast	28	28	$420.00	$101.62
84520 Urea nitrogen level to assess kidney function	28	23	$36.00	$2.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$801.25	$47.73
55700 Biopsy of prostate gland	20	20	$808.00	$194.77
76872 Ultrasound scan of pelvic region through rectum	20	20	$460.90	$74.73
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$1050.00	$226.24
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$96.00	$24.73

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 001383

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Midlands Choice

235483

Commercial Insurance / Payer ID Health Alliance

071090

Commercial Insurance / Payer ID Iowa Health Solutions

208830

Commercial Insurance / Payer ID John Deere Health

IA 0197

Commercial Insurance / Payer ID Wellmark Bc/bs

45845 (IA)

Hospital & Practice Group Affiliations

Mercy Specialty Clinic

915 13th Ave N, Clinton, IA 527325067

Phone: 5632432511

Mercy Specialty Clinic

1410 N 4th St, Clinton, IA 527322940

Phone: 5632445900

Mercy Specialty Clinic

600 14th Ave N, Clinton, IA 527322914

Practice Associates & Co-Workers

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

40 Associated Practitioners

Billie Tack , ARNP

Nurse Practitioner - Women's Health

NPI 1003866674

Advanced Registered Nurse Practitioner

Dr. Suheil Barakat , MD

Internal Medicine

NPI 1013975259

Doctor of Medicine (M.D.)

Dr. William Ingram , MD

Family Medicine

NPI 1013996636

Doctor of Medicine (M.D.)

Ashlee Sheridan

Nurse Practitioner - Family

NPI 1083323638

Holly Romer , RD, LD, CDE

Dietitian, Registered

NPI 1104234681

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Dr. Donald Flory , MD

Family Medicine

NPI 1124078266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

📍

Updated Business Mailing Address March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

👤

Provider Name / Credentials Updated March 15, 2013

Recorded as BRIAN ZIMMERMAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2013

Physician Assistant (License #001383 in IA)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710931480

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: March 15, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

915 13th Ave N

Clinton, IA 527325067

Phone: 5632432511

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.