JACOB ZEMBLES MD
NPI 1285164228
Internal Medicine - Rheumatology in Ballwin, MO

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
15945 CLAYTON RD, SUITE 170, BALLWIN, MO 63011(636) 256-5070(636) 256-5066 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2024, Aug 28, 2023, Sep 12, 2022 and 2 more (5 updates tracked since 2017).

About Jacob Zembles Md NPPES

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

JACOB ZEMBLES MD (NPI 1285164228) is an individual rheumatology provider in Ballwin, Missouri, licensed in Missouri (2020025235) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (2021).

NPPES Registry Identity

NPI1285164228
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJACOB ZEMBLESCredential: MD
Location Address15945 CLAYTON RD, SUITE 170Ballwin, MO 63011-2490
Mailing Address15945 Clayton Rd Suite 170Ballwin, MO 63011-2490 · (636) 256-5070
Fax(636) 256-5066
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021
Enumeration DateJune 13, 2017
Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1285164228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MO · 2020025235
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

15945 CLAYTON RD, Ballwin, MO 63011

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

Jacob Zembles 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 ID2163792698
PECOS Enrollment IDI20200824002166
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.

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
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.
27 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Surgery (Surgical Oncology)
15945 CLAYTON RD, SUITE 120
BALLWIN, MO 63011
Family Medicine
15945 CLAYTON RD
BALLWIN, MO 63011
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
Podiatrist (Foot & Ankle Surgery)
15945 CLAYTON RD
BALLWIN, MO 63011
Podiatrist (Foot & Ankle Surgery)
15945 CLAYTON RD, SUITE 220
BALLWIN, MO 63011
Orthopaedic Surgery (Sports Medicine)
15945 CLAYTON RD, STE 220
BALLWIN, MO 63011

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 Jacob Zembles's NPI number?

The NPI number for Jacob Zembles is 1285164228. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Jacob Zembles located?

Jacob Zembles practices at 15945 Clayton Rd Suite 170, Ballwin, MO 63011. The listed phone number is (636) 256-5070.

What is Jacob Zembles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jacob Zembles enrolled in Medicare?

Yes. Jacob Zembles 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 Jacob Zembles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jacob Zembles 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 Jacob Zembles affiliated with any hospitals?

According to CMS data, Jacob Zembles is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington, Mercy Hospital Lebanon and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Jacob Zembles was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.