JAMES ZERNER MD
NPI 1114976826
Radiology - Diagnostic Radiology in Plano, TX
About James Zerner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES ZERNER MD (NPI 1114976826) is an individual diagnostic radiology provider in Plano, Texas, licensed in Texas (L0725) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Boston University School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Zerner 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Joseph Medical Center
Acute Care Hospitals · Joliet, ILPresence Saint Francis Hospital
Acute Care Hospitals · Evanston, ILAmita Health Resurrection Medical Center
Acute Care Hospitals · Chicago, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILPresence Saint Joseph Hospital - Elgin
Acute Care Hospitals · Elgin, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
PLANO, TX 75075
PLANO, TX 75075
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 Zerner's NPI number?
The NPI number for James Zerner is 1114976826. It was assigned to this individual provider in the NPPES registry on May 9, 2006.
Where is James Zerner located?
James Zerner practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (972) 596-6800.
What is James Zerner's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Zerner enrolled in Medicare?
Yes. James Zerner 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.
What insurance does James Zerner accept?
Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list James Zerner 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 Zerner affiliated with any hospitals?
According to CMS data, James Zerner is affiliated with Presence Saint Joseph Medical Center, Presence Saint Francis Hospital, Amita Health Resurrection Medical Center, Riverside Medical Center and Presence Saint Joseph Hospital - Elgin.
When was this NPI record last updated?
The NPPES record for James Zerner was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.