JAMES C ZMOLEK M.D.
NPI 1417960154
Orthopaedic Surgery in Santa Barbara, CA

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
215 PESETAS LN, SANTA BARBARA, CA 93110(805) 681-1761(805) 681-1768 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James C Zmolek M.d. NPPES

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

JAMES C ZMOLEK M.D. (NPI 1417960154) is an individual orthopaedic surgery provider in Santa Barbara, California, licensed in California (G55411) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1984).

NPPES Registry Identity

NPI1417960154
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES C ZMOLEKCredential: M.D.
Location Address215 PESETAS LNSanta Barbara, CA 93110-1416
Mailing AddressPo Box 62106Santa Barbara, CA 93160-2106 · (805) 681-1761 · Fax (805) 681-1768
Fax(805) 681-1768
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1984
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 22, 2008
NPI 1417960154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · G55411
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
215 PESETAS LN, Santa Barbara, CA 93110

Other Identifiers 4

Medicare PINWG55411FCA
Medicare PINWG55411GCA
Medicare UPINE02768CA
Medicaid00G554110CA

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 C Zmolek M.d. 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 ID840482568
PECOS Enrollment IDI20101012001418
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
496 services93 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.
234 services191 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
194 services142 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
182 services182 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.
181 services154 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
105 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93110 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier242 claims242 services$54.32 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
2 suppliers14 claims14 services$405.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
215 PESETAS LN
SANTA BARBARA, CA 93110
Internal Medicine (Endocrinology, Diabetes & Metabolism)
215 PESETAS LN
SANTA BARBARA, CA 93110
Optometrist
215 PESETAS LN
SANTA BARBARA, CA 93110
Physician Assistant
215 PESETAS LN
SANTA BARBARA, CA 93110
Nurse Practitioner (Women's Health)
215 PESETAS LN
SANTA BARBARA, CA 93110
Registered Nurse
215 PESETAS LN
SANTA BARBARA, CA 93110
Family Medicine
215 PESETAS LN
SANTA BARBARA, CA 93110
Emergency Medicine
215 PESETAS LN
SANTA BARBARA, CA 93110

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 Zmolek's NPI number?

The NPI number for James Zmolek is 1417960154. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is James Zmolek located?

James Zmolek practices at 215 Pesetas Ln, Santa Barbara, CA 93110. The listed phone number is (805) 681-1761.

What is James Zmolek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Zmolek enrolled in Medicare?

Yes. James Zmolek 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.

When was this NPI record last updated?

The NPPES record for James Zmolek was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.