Individual provider Active NPI

Edward Matthew Zimm, D.O.

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1609801604
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS014072 Issued in PA
Practice address
300 State St
Suite 200
Erie, PA 16507-1427
Phone
(814) 453-4575
Fax
(814) 459-3885
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS014072 PA Primary
Specialist 174400000X 5101015865 MI

Addresses

Primary practice location

300 State St
Suite 200
Erie, PA 16507-1427

Mailing address

300 State St Ste 200
Erie, PA 16507-1429
Phone (814) 453-4575

Other identifiers 2

IdentifierTypeStateIssuer
4842782MedicaidMI
1852511335OtherMIBLUE CROSS & BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@drzimm.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070725000089 PA Practitioner - Ophthalmology 6709892045 Reassigns benefits to 1 organization
I20241213000641 PA Practitioner - Diagnostic Radiology 6709892045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward M. Zimm, P.C.Group PAC ID 3274608757, 3 clinicians

Practice addresses (Care Compare)

300 State St
Suite 200
Erie, PA 16507-1429
Phone (814) 453-4575

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
95.49
Improvement activities
40
Cost
77.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Zimm, P.C. Ophthalmology CurrentSince Aug 4, 2008 Accepting new patients
Premier 2020, LLC Current Accepting new patients
Precision Medical Imaging, LLC CurrentSince Oct 12, 2024 Accepting new patients
Stamm Cataract and Laser Center Inc Ophthalmology PastSince Aug 4, 2008 Accepting new patients

Locations

2374 Village Common Dr
Ste 100
Erie, PA 16506
Phone (814) 528-5034

300 State St
Ste 200
Erie, PA 16507
Phone (814) 453-4575

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1609801604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-453-4575",
            "fax_number": "814-459-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-453-4575",
            "fax_number": "814-459-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMM",
        "first_name": "EDWARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS014072",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101015865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4842782",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "1852511335",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@drzimm.com",
            "affiliation": "N",
            "endpointDescription": "Administrator for Dr. Zimm",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "300 State St Ste 200",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.