Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ETHAN THOMAS YARBROUGH
NPI 1063109585
Hospitalist in San Bernardino, CA

Q: What is Ethan Yarbrough's NPI number?

The NPI number for Ethan Yarbrough is 1063109585. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Ethan Yarbrough's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Yarbrough was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2023PECOS Enrolled

2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(559) 393-3165 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ethan Thomas Yarbrough NPPES

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

ETHAN THOMAS YARBROUGH (NPI 1063109585) is an individual hospitalist provider in San Bernardino, California, licensed in Montana (MED-PHYS-LIC-169845) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063109585

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameETHAN THOMAS YARBROUGH

Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836

Mailing Address1669 N Dutch AveClovis, CA 93619-5087

Phone(559) 393-3165

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 24, 2023

Last NPPES UpdateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1063109585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MT · MED-PHYS-LIC-169845

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2101 N WATERMAN AVE, San Bernardino, CA 92404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Thomas Yarbrough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426520297

PECOS Enrollment IDI20260611004675

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

NICHOLAS WALTHER PA-C

Physician Assistant (Medical)