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JAMES S ZEBRACK MD
NPI 1003808940
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1160 E 3900 S, STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 288-4444 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2022, Nov 30, 2020 (2 updates tracked since 2020).

About James S Zebrack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES S ZEBRACK MD (NPI 1003808940) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (328827-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of University Of Nevada School Of Medicine (1995).

NPPES Registry Identity

NPI1003808940
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES S ZEBRACKCredential: MD
Location Address1160 E 3900 S, STE 2000Salt Lake City, UT 84124-1202
Mailing AddressPo Box 741729Atlanta, GA 30374-1729
Phone(801) 266-3418
Fax(801) 288-4444
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1995
Enumeration DateAugust 17, 2005
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1003808940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 328827-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1160 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

Other Identifiers 1

MedicaidD2130UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James S Zebrack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931149689
PECOS Enrollment IDI20050511001082
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Zebrack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountainstar Cardiology St Marks LLC
Same address
Interventional Cardiology
1160 E 3900 S, STE. 2000
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • 36 clinicians in this Medicare group
NPI 1437446168 (801) 266-3418

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
339 services243 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
151 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
108 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services92 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
85 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services49 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%180 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%2,170 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,963 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
96%728 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,596 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,339 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,339 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
27%1,339 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 731 patients
1%731 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%1,339 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY RAMSAY O'NEAL III MD, MS
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. JEFFREY G RANDLE MD
Physical Medicine & Rehabilitation
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
KENNETH G NIELSON MD
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. MINA GOHARI M.D.
Family Medicine
1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7766
JAMES JOSEPH CHAMBERLAIN MD
Internal Medicine
1160 E 3900 S, SUITE 1200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 261-9651
PAWAN K SHARMA MD
Nuclear Medicine (Nuclear Cardiology)
1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
STEPHEN G ROPER PA
Physician Assistant
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486
MRS. LAURA JEAN ABERTON PT
Physical Therapist
1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-8486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Zebrack's NPI number?

The NPI number for James Zebrack is 1003808940. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is James Zebrack located?

James Zebrack practices at 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is James Zebrack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Zebrack enrolled in Medicare?

Yes. James Zebrack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Zebrack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Zebrack reassigns Medicare benefits to Mountainstar Cardiology St Marks LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Zebrack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Zebrack accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list James Zebrack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Zebrack affiliated with any hospitals?

According to CMS data, James Zebrack is affiliated with St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for James Zebrack was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.