MIMI A ZUMWALT (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1316928757

MIMI A ZUMWALT (MD) is a healthcare provider. based in Lubbock, Texas. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold the professional credentials MD. They hold a License No. K8867 (TX). The NPI Number for MIMI A ZUMWALT (MD) is 1316928757

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MIMI A ZUMWALT (MD)
NPI
1316928757
Phone
(806) 743-2898
Address
PO BOX 5865
Enumeration Date
11 November 2005
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067432475
Graduation Year
1989 (37 years ago)
PAC ID
1052494655
Group Practice PAC ID
4385549674
Professional Enrollment ID
I20080205000563

Contacts

Secure Messaging
mimi.zumwalt@direct.myteamcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MIMI A ZUMWALT (MD)

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794305865

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Lubbock County, Texas, 79415, United States

    LUBBOCK, TX 794300002

    Phone: (806) 743-2475

    Fax: (806) 743-1394

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($48).

Total Amount

$102

General + Research + Ownership

Payments

6

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-05

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
I20080205000563IOrthopedic SurgeryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 79430)

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Provider's Procedures

MIMI A ZUMWALT (MD) performs procedures in Sports Medicine (Orthopaedic Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX20610Aspiration and/or injection of large joint or joint capsule6534

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: 4385549674View full group profile
NameSpecialtyState
Interventional CardiologyPA
A N E S T H E S I O L O G YTX
General SurgeryTX
Certified Registered Nurse Anesthetist (Crna)TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Family Practice, Geriatric MedicineTX
P A T H O L O G YTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify MIMI A ZUMWALT (MD) for billing?
Administrative and clinical systems typically use NPI 1316928757 for MIMI A ZUMWALT (MD).
Is MIMI A ZUMWALT (MD)'s NPI status active today?
Active status means MIMI A ZUMWALT (MD)'s NPI record is not deactivated in the public file.
What services align with MIMI A ZUMWALT (MD)'s listing?
MIMI A ZUMWALT (MD)'s public classification highlights Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIMI A ZUMWALT (MD)?
MIMI A ZUMWALT (MD) is associated with Lubbock, Texas in the same public data insurers reference.
Why is information missing for MIMI A ZUMWALT (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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