Physician

Edward Matthew Zimm, D.O.

According to 2025 Medicare claims, Edward Zimm, D.O. (NPI: 1609801604) practices ophthalmology in the Erie, PA market, with the plurality of this provider's patient population coming from Erie, PA. This provider's primary affiliated billing organization is EDWARD M. ZIMM, P.C. (NPI: 1306008545; TIN: 26-2882593) and primary practice location at 16506-4970.

Zimm's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 794 traditional Medicare patients, billed 2,646 HCPCS/CPT codes, and received $298,686 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 6,476 prescription claims across 1,241 beneficiaries totaling $544,228 in drug costs, led by Lumigan (Bimatoprost). 2023 DME data shows 30 claims. Open Payments data shows 24 records totaling $578. 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's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $365,012 to $544,228. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,309	4,003	$428,893
2016	1,424	4,484	$474,090
2017	1,451	4,619	$503,747
2018	1,495	4,765	$513,515
2019	1,535	5,265	$578,649
2020	1,226	3,952	$420,778
2021	1,199	4,099	$448,498
2022	945	3,405	$415,241
2023	937	3,366	$432,701
2024	794	2,646	$298,686

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	803	5,265	$365,012
2016	881	5,745	$369,431
2017	940	6,061	$404,589
2018	914	5,534	$403,674
2019	1,062	5,879	$425,704
2020	1,026	5,264	$372,845
2021	1,205	6,165	$478,087
2022	1,390	6,890	$599,628
2023	1,489	8,187	$720,172
2024	1,241	6,476	$544,228

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	57	59	$2,868
2016	34	34	$1,638
2017	41	41	$1,998
2018	64	64	$3,393
2019	55	56	$2,693
2020	30	42	$2,283
2021	48	48	$2,569
2022	28	29	$1,773
2023	30	30	$1,876
2024	N/R	N/R	N/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
66984	Removal of cataract with insertion of prosthetic lens	211	376	$379
92004	New patient complete exam of visual system	217	217	$85
92014	Established patient complete exam of visual system	403	426	$68
92136	Measurement of corneal curvature and depth of eye	279	405	$27
92134	Imaging of retina	608	649	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	213	9,325	$84,277
Xiidra	Lifitegrast	96	3,420	$75,325
Prolensa	Bromfenac Sodium	185	6,681	$64,407
Vyzulta	Latanoprostene Bunod	92	3,467	$32,825
Miebo	Perfluorohexyloctane/Pf	30	819	$22,312

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$578	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Edward Matthew Zimm, D.O.?

Tedicare shows public-source Medicare data for Edward Matthew Zimm, D.O. (NPI 1609801604), 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 Edward Matthew Zimm, D.O. have ACO affiliation data?

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

What billing organization is linked to Edward Matthew Zimm, D.O.?

Edward Matthew Zimm, D.O. is linked to EDWARD M. ZIMM, P.C. (billing NPI 1306008545) in the available physician profile data.

Does Edward Matthew Zimm, D.O. have Open Payments data?

Edward Matthew Zimm, D.O. has 24 connected Open Payments records in the available 2024 summary 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.