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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

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: November 01, 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, is affiliated with St Vincent Healthcare, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

St. Vincent Healthcare

862 mi

Clinic/Center

1648 ELLIS ST, SUITE 201
Bozeman, MT 59715

Reassigned Medicare billing, Montana enrollment
Medicare enrollment name: Scl Health Montana
186 clinicians in this Medicare group

NPI 1407897986 (406) 556-4649

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

Hospital Affiliations CMS Care Compare

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

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.

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)