Physician

Andrea Zimmern, M.D.

According to 2025 Medicare claims, Andrea Zimmern, M.D. (NPI: 1669641296) practices colorectal surgery (formerly proctology) in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 11030-3816. Zimmern is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Zimmern's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 222 traditional Medicare patients, billed 553 HCPCS/CPT codes, and received $104,039 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 172 prescription claims across 93 beneficiaries totaling $4,700 in drug costs, led by Hydrocortisone (Hydrocortisone). DME data shows 11 claims. Open Payments data shows 18 records totaling $2,602. 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 has risen steadily, from $44,887 to $104,039. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $15,686 to $4,700. 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.

Year	Patients	Clm Lines	Payment
2015	100	268	$44,887
2016	45	99	$15,000
2017	65	157	$34,473
2018	124	311	$62,081
2019	138	360	$80,504
2020	116	276	$57,878
2021	114	262	$52,025
2022	173	462	$104,765
2023	171	440	$86,743
2024	222	553	$104,039

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	50	140	$15,686
2016	64	124	$4,035
2017	31	60	$1,886
2018	44	88	$7,966
2019	65	134	$6,604
2020	57	135	$6,290
2021	69	148	$4,781
2022	83	183	$13,629
2023	75	149	$3,551
2024	93	172	$4,700

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	14	$2,017
2021	N/R	N/R	N/R
2022	N/R	11	$91
2023	N/R	138	$13,400
2024	N/R	11	$168

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$144
46600	Diagnostic exam of anus using an endoscope	75	77	$111
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	55	$106
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	76	98	$81

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocortisone	Hydrocortisone	32	727	$492
Procto-Med Hc	Hydrocortisone	13	241	$168
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	17	286	$167
Neomycin Sulfate	Neomycin Sulfate	18	34	$51
Oxycodone Hcl	Oxycodone Hcl	16	36	$28

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A5120	Skin barrier, wipes or swabs, each	N	N/R	11	$168

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$2,602	Axonics, 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 Andrea Zimmern, M.D.?

Tedicare shows public-source Medicare data for Andrea Zimmern, M.D. (NPI 1669641296), 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 Andrea Zimmern, M.D. have ACO affiliation data?

Andrea Zimmern, M.D. is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Andrea Zimmern, M.D.?

Andrea Zimmern, M.D. is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Andrea Zimmern, M.D. have Open Payments data?

Andrea Zimmern, M.D. has 18 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.