DR. KURT GERARD ZIMMER (DO) – Family Medicine Physician, NPI 1104866029

DR. KURT GERARD ZIMMER (DO) is a healthcare provider. based in Smyrna, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R3F95 (MO). The NPI Number for DR. KURT GERARD ZIMMER (DO) is 1104866029

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT GERARD ZIMMER (DO)
NPI
1104866029
Phone
(479) 443-4301
Address
PO BOX 2429
Enumeration Date
8 June 2006
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9186782282
Graduation Year
1984 (42 years ago)
PAC ID
9335163666
Group Practice PAC ID
6406748367
Professional Enrollment ID
I20161221001413
Address ID
OK743702114WY1XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. KURT GERARD ZIMMER (DO)

  • Smyrna Post Office, 13, South Market Street, Smyrna, Kent County, Delaware, 19977, United States

    SMYRNA, TN 371671719

    Phone: (479) 443-4301

    Type: Mailing

  • Veterans Health Care System of the Ozarks, 1100, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727031944

    Phone: (479) 443-4301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161221001413IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37167)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406748367View full group profile
NameSpecialtyState
-OK
-OK
Family PracticeOK
Physical Therapist In Private PracticeOK
Nurse PractitionerMO
Emergency MedicineOK
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do payers reference DR. KURT GERARD ZIMMER (DO)?
For DR. KURT GERARD ZIMMER (DO), use NPI 1104866029 as the unique 10-digit identifier.
Would DR. KURT GERARD ZIMMER (DO) appear as active to a payer?
You can treat DR. KURT GERARD ZIMMER (DO) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. KURT GERARD ZIMMER (DO)'s focus?
For DR. KURT GERARD ZIMMER (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Tennessee is DR. KURT GERARD ZIMMER (DO) registered?
Use Smyrna, Tennessee as the headline location for DR. KURT GERARD ZIMMER (DO) here.
When was this NPI issued?
Enumeration for DR. KURT GERARD ZIMMER (DO) is noted as June 8, 2006 where the registry provides it.

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