Matthew J. Zimmerman, MD
NPI 1154474435ActiveIndividual· Internal Medicine, Cardiovascular Disease· Lexington, KY
Internal Medicine, Cardiovascular Disease (MD) in Lexington, Kentucky, trained at University of Louisville School of Medicine (class of 2001). Their prescriptions cost Medicare Part D more than their services did: $520,724 for 2,574 claims, against $162,907 paid for services in 2024. Pfizer Inc. was the largest of 5 companies reporting payments in 2025, $214.78 in all, mostly food and beverage.
Overview
| NPI | 1154474435 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Sep 8, 2023 |
| Certified by provider | Sep 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 38495 | KY |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 35088418 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,564 |
|---|---|
| Services billed | 3,616 across 64 procedure codes |
| Paid by Medicare | $162,907 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,574 · 6,206 30-day fills |
|---|---|
| Patients | 525 |
| Total drug cost | $520,724 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical group
- New Lexington Clinic PSCLexington, KY · 332 clinicians
Hospital affiliations
- Bluegrass Community HospitalVersailles, KY
- Saint Joseph EastLexington, KY
- Saint Joseph HospitalLexington, KY
- Saint Joseph LondonLondon, KY
- Saint Joseph Mount SterlingMount Sterling, KY
Industry payments (Open Payments)
- 2025$214.78 · 10 payments from 5 companies
- 2024$162.72 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $103.13 | 5 |
| Neurocrine Biosciences, Inc. | $37.28 | 1 |
| Novo Nordisk Inc | $34.52 | 2 |
| Novartis Pharmaceuticals Corporation | $24.20 | 1 |
| Amgen Inc. | $15.65 | 1 |
What the 2025 payments were for
- Food and Beverage$214.78 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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