2026 NPPES data Obstetrics & Gynecology Physician NPI 1841362316 M.D.
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JOHN ZIMMERLY, M.D.

Obstetrics & Gynecology Physician in BABYLON, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
117
Medicare Part D claims · 21 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.7056/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

JOHN ZIMMERLY, M.D. reported a CMS MIPS final score of 78.7056/100 — below the 83.1 national average — and filed 117 Medicare Part D claims in 2023.

78.7056/100
MIPS score · -4 vs avg
117
Part D claims, 2023
45%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOHN ZIMMERLY, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 27th percentile higher than 27% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JOHN ZIMMERLY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOHN ZIMMERLY, M.D.?

Near national average

NPI registry status

Active

Issued 11/14/2006

NPI 1841362316

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

117 35% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

78.7056/100 4.39439999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Obstetrics & Gynecology Physician compares to other specialties among New York providers

New York providers

Obstetrics & Gynecology Physician share within New York

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within New York

Medicare quality performance — MIPS

JOHN ZIMMERLY, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Near national average
MIPS Final Score
78.7056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 78.7056/100 vs national avg 83.1

0%100%National avg83%78.7%
MIPS final score (Obstetrics & Gynecology Physician) — 78.7056/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOHN ZIMMERLY, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 454 DEER PARK AVE, BABYLON, NY, 11702, with a listed phone of (631) 321-5440. NPI 1841362316 was issued on 11/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZIMMERLY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 117 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $43K in drug spend, split 55% brand-name and 45% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.7056/100 for the 2023 performance year (Quality 81.739, Cost 42.3807), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

454 DEER PARK AVE
BABYLON, NY 11702

Provider Details

NPI 1841362316
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 11/14/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

78.7056
Final Score
Avg: 83.1
81.739
Quality
42.3807
Cost
99
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to JOHN ZIMMERLY, M.D.. To verify JOHN ZIMMERLY, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JOHN ZIMMERLY, M.D. — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 117 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

117
Total Claims
$43K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
196
Total Day Supply
5,439
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$38K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.62

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOHN ZIMMERLY, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ozempic
Semaglutide
13
Eliquis
Apixaban
12
Yuvafem
Estradiol
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Obstetrics & Gynecology Physician Overview

How JOHN ZIMMERLY, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

JOHN ZIMMERLY, M.D.'s 117 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as ZIMMERLY.

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN ZIMMERLY, M.D.'s specialty?
JOHN ZIMMERLY, M.D. specializes in Obstetrics & Gynecology Physician and practices in BABYLON, New York. Credentials: M.D..
How much does JOHN ZIMMERLY, M.D. prescribe under Medicare Part D?
In 2023, JOHN ZIMMERLY, M.D. wrote 117 Medicare Part D claims totaling $43K in drug costs for 21 beneficiaries.
What is JOHN ZIMMERLY, M.D.'s Medicare quality score?
JOHN ZIMMERLY, M.D. has a CMS MIPS Final Score of 78.7056/100 (Quality: 81.739, Cost: 42.3807). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN ZIMMERLY, M.D. located?
JOHN ZIMMERLY, M.D. is located at 454 DEER PARK AVE, BABYLON, NY, 11702. Phone: (631) 321-5440.
What is JOHN ZIMMERLY, M.D.'s NPI number?
JOHN ZIMMERLY, M.D.'s National Provider Identifier (NPI) is 1841362316, issued on 11/14/2006.
Does JOHN ZIMMERLY, M.D. prescribe more brand-name or generic drugs?
JOHN ZIMMERLY, M.D.'s prescribing is 55% brand-name and 45% generic drugs by claim count, with $38K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does JOHN ZIMMERLY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN ZIMMERLY, M.D.'s most frequently prescribed drugs include Ozempic, Eliquis, Yuvafem. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN ZIMMERLY, M.D. accept Medicare?
JOHN ZIMMERLY, M.D. appears in CMS Medicare data with 117 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN ZIMMERLY, M.D.'s credentials?
JOHN ZIMMERLY, M.D.'s NPI is 1841362316 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology