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DR. JEROME ZARRAGA D.O.
NPI 1346697893
Emergency Medicine in Santa Monica, CA

Active since May 14, 2016PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
2121 SANTA MONICA BLVD FL 1, SANTA MONICA, CA 90404(310) 829-5511 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2020, May 14, 2016 (2 updates tracked since 2016).

About Dr. Jerome Zarraga D.o. NPPES

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

DR. JEROME ZARRAGA D.O. (NPI 1346697893) is an individual emergency medicine provider in Santa Monica, California, licensed in California (20A18108) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346697893
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JEROME ZARRAGACredential: D.O.
Location Address2121 SANTA MONICA BLVD FL 1Santa Monica, CA 90404-2303
Mailing Address4422 3rd AveBronx, NY 10457-2545 · (718) 960-9000
Phone(310) 829-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 14, 2016
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1346697893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 20A18108
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2121 SANTA MONICA BLVD FL 1, Santa Monica, CA 90404
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Secondary Practice Location 1

Location 14422 3rd AveBronx, NY 10457-2545 · Phone (718) 960-9000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Jerome Zarraga D.o. 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 ID4688005770
PECOS Enrollment IDI20200505000766
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
233 services225 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services114 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Jerome Zarraga's NPI number?

The NPI number for Jerome Zarraga is 1346697893. It was assigned to this individual provider in the NPPES registry on May 14, 2016.

Where is Jerome Zarraga located?

Jerome Zarraga practices at 2121 Santa Monica Blvd Fl 1, Santa Monica, CA 90404. The listed phone number is (310) 829-5511.

What is Jerome Zarraga's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jerome Zarraga enrolled in Medicare?

Yes. Jerome Zarraga 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 Jerome Zarraga accept?

Health plans from Molina Healthcare list Jerome Zarraga 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.

When was this NPI record last updated?

The NPPES record for Jerome Zarraga was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.