Physician

James Lawrence Zimmerman, M.D.

According to 2025 Medicare claims, James Zimmerman, M.D. (NPI: 1245428291) practices ophthalmology in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is BLACK HILLS REGIONAL EYE INSTITUTE, LLP (NPI: 1952381881; TIN: 460461540) and primary practice location at 57701-7374.

Zimmerman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 76 traditional Medicare patients, billed 38,530 HCPCS/CPT codes, and received $130,758 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). 2017 Part D data shows 104 prescription claims across 50 beneficiaries totaling $4,026 in drug costs. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$65K$131K2015 Medicare payment: $4,447 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $14,872 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $4,453 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $130,758 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154256$4,447
2016113185$14,872
20175281$4,453
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20247638,530$130,758

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$4.7K$9.5K2015 Drug cost: $5,358 (USD; Tot_Drug_Cst)2016 Drug cost: $9,454 (USD; Tot_Drug_Cst)2017 Drug cost: $4,026 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201551104$5,358
201691226$9,454
201750104$4,026
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
67028Injection of drug into eye4950$101
92014Established patient complete exam of visual system1111$98
92134Imaging of retina7374$31
J2777Injection, faricimab-svoa, 0.1 mg151,020$27
J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg4536,800$0

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for James Lawrence Zimmerman, M.D.?

Tedicare shows public-source Medicare data for James Lawrence Zimmerman, M.D. (NPI 1245428291), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Lawrence Zimmerman, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James Lawrence Zimmerman, M.D.?

James Lawrence Zimmerman, M.D. is linked to BLACK HILLS REGIONAL EYE INSTITUTE, LLP (billing NPI 1952381881) in the available physician profile data.

Does James Lawrence Zimmerman, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.