NPPES file of Aug 9, 2026

Matthew J. Zimmerman, MD

Cardiovascular Disease Physician · Lexington, KY

Matthew J. Zimmerman, MD is a cardiovascular disease physician with a practice address in Lexington, Kentucky, and NPI 1154474435, issued on Jan 19, 2007. Check the license (Kentucky 38495, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154474435
Name
Matthew J. Zimmerman
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License numbers
38495 KY
35088418 OH
Self-reported in NPPES; status is on the state search
Practice location
1221 S Broadway, Lexington, KY 40504
Phone
(859) 258-5300
Enumerated
Jan 19, 2007
Record last updated
Sep 8, 2023
Fax
(859) 258-5357
Medicaid IDs
6408207600 KY
64082076 KY
Medicare enrollment
Enrolled (PECOS I20040506000682); accepts Medicare assignment
Medical or professional school
University Of Louisville School Of Medicine, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1221 S Broadway

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Syed Abbas, M.D.Rheumatology Physician1982658902
  2. Malinda Abbott, PAPhysician Assistant1467470203
  3. Michelle Adams, PAMedical Physician Assistant1578586863
  4. Jessica Adkins, MDEmergency Medicine Physician1639708712
  5. Sanjay Agarwala, MDDiagnostic Radiology Physician1932179041
  6. Muhammad Ahmed, MDEmergency Medicine Physician1912053042

Verify Matthew J. Zimmerman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 38495
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

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16% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

2,574 Medicare Part D claims for 525 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.

  1. Matthew Zimmerman2,574
  2. Specialty average3,078

Most prescribed

  1. Eliquis277 claims
  2. Amlodipine Besylate158 claims
  3. Atorvastatin Calcium130 claims
  4. Metoprolol Tartrate126 claims
  5. Lisinopril118 claims
  6. Metoprolol Succinate115 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 80.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score62.3
  2. Costout of 100 · 30%74.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $162.72

9 payments; by number, the most common kind was food and beverage; the largest payer was E.R. Squibb & Sons, L.L.C. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Zimmerman$162.72
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. New Lexington Clinic PscLexington, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Cardiovascular Disease Physician providers in Kentucky

There are 284 cardiovascular disease physician records in Kentucky.

Other cardiovascular disease physician records in Kentucky

  1. Mahmoud Abualayem, MD.Berea, KY1659703163
  2. Ahmad Abuarqoub, M.D.Morehead, KY1568820561
  3. Jesse Adams, MDLouisville, KY1760470587
  4. Olusola Adekoya, DOCovington, KY1255891537
  5. Arpit Agrawal, MDLouisville, KY1386872257
  6. Aslam Ahmad, MDDanville, KY1992702476
  7. Sergei Airapetov, DOLouisville, KY1467931501
  8. Muhammad Akbar, M.D.Bowling Green, KY1326231622
  9. Emmanuel Akuna, MDAshland, KY1750933594
  10. Lauren Albers, M.D.Louisville, KY1427410596

Common questions

What is Matthew J. Zimmerman, MD's NPI number?

Matthew J. Zimmerman, MD's National Provider Identifier (NPI) is 1154474435, issued on Jan 19, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Matthew J. Zimmerman, MD located?

The NPPES record lists a practice address at 1221 S Broadway, Lexington, KY, 40504. Phone: (859) 258-5300. Providers update this record themselves, so call before visiting.

How can I verify Matthew J. Zimmerman, MD's license?

NPPES lists Kentucky license number 38495, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew J. Zimmerman, MD prescribe under Medicare Part D?

In 2024, Matthew J. Zimmerman, MD had 2,574 Medicare Part D claims for 525 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Matthew J. Zimmerman, MD's MIPS final score?

The 2023 MIPS final score is 80.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.