DR. JAMES JOSEPH ZIOMEK MD
NPI 1487652780
Internal Medicine in Los Alamos, NM

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544(505) 662-4351(505) 662-4351 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Joseph Ziomek Md NPPES

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

DR. JAMES JOSEPH ZIOMEK MD (NPI 1487652780) is an individual internal medicine provider in Los Alamos, New Mexico, licensed in New Mexico (95166) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1991).

NPPES Registry Identity

NPI1487652780
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES JOSEPH ZIOMEKCredential: MD
Location Address3917 WEST RD, SUITE 150Los Alamos, NM 87544-2275
Mailing Address3917 West Rd, Suite 150Los Alamos, NM 87544-2275 · (505) 662-4351 · Fax (505) 662-4351
Fax(505) 662-4351
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1991
Enumeration DateJuly 11, 2005
Last NPPES UpdateDecember 31, 2009
NPI 1487652780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NM · 95166
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3917 WEST RD, Los Alamos, NM 87544

Other Identifiers 2

Medicare UPINF99906
Medicaid30985NM

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. James Joseph Ziomek 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 ID7113921644
PECOS Enrollment IDI20100210000693
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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,690 services125 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
900 services12 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.
743 services335 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.
407 services299 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
334 services230 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
262 services149 patients

Hospital Affiliations CMS Care Compare 3

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87544 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%322 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,383 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%1,348 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%136 patients1/55-star benchmark: 98%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
84%45 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%322 patients5/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%856 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
80%789 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%414 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
45%414 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$39.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$100.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims26 services$37.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$71.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$20.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers24 claims125 services$2.84 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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3917 WEST RD, STE 200
LOS ALAMOS, NM 87544
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Emergency Medicine (Emergency Medical Services)
3917 WEST RD
LOS ALAMOS, NM 87544
Surgery
3917 WEST RD, SUITE #125
LOS ALAMOS, NM 87544
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3917 WEST RD, STE G-02
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544

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 Ziomek's NPI number?

The NPI number for James Ziomek is 1487652780. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is James Ziomek located?

James Ziomek practices at 3917 West Rd Suite 150, Los Alamos, NM 87544. The listed phone number is (505) 662-4351.

What is James Ziomek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Ziomek enrolled in Medicare?

Yes. James Ziomek 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.

Is James Ziomek affiliated with any hospitals?

According to CMS data, James Ziomek is affiliated with Christus St Vincent Regional Medical Center, Los Alamos Medical Center and Holy Cross Hospital A Div Of Taos Health Systems.

When was this NPI record last updated?

The NPPES record for James Ziomek was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.