JAMES J ZUBERNIS DO
NPI 1609974385
Obstetrics & Gynecology in Hamilton, MT

Q: What is James Zubernis's NPI number?

The NPI number for James Zubernis is 1609974385. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is James Zubernis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for James Zubernis was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

79.42/100

CMS Quality Rating

1200 WESTWOOD DR, HAMILTON, MT 59840(406) 375-4777(406) 375-4778 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, Mar 21, 2018 (2 updates tracked since 2018).

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About James J Zubernis Do NPPES

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

JAMES J ZUBERNIS DO (NPI 1609974385) is an individual obstetrics & gynecology provider in Hamilton, Montana, licensed in Georgia (062302) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Banner Churchill Community Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1609974385

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES J ZUBERNISCredential: DO

Location Address1200 WESTWOOD DRHamilton, MT 59840-2345

Mailing Address917 W Gordon StThomaston, GA 30286-3427 · (706) 647-9627

Phone(406) 375-4777

Fax(406) 375-4778

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2022

✔ NPI 1609974385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in GA · 062302✔ Licensed in WY · 9535A✔ Licensed in MT · 26750✔ Licensed in SD · 8895✔ Licensed in MI · 5101016269✔ Licensed in ND · 9887

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1200 WESTWOOD DR, Hamilton, MT 59840

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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 J Zubernis Do 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 ID6507767381

PECOS Enrollment IDI20260613000449

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.

Hospital Affiliations CMS Care Compare

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

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291313

Location801 East Williams AvenueFallon, NV 89406 · Churchill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59840 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

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.

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.

79.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

31.42

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.

DR. AARON CHRISTOPHER LAIRD MD

Emergency Medicine

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 363-2211

ADRIENNE CLARK RD

Dietitian, Registered

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 375-4536

HOLLY JOYCE LYNN SMITH OTR/L

Occupational Therapist

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 375-4434

DESIREE DAWN DUTTON M.P.T.

Physical Therapist

1200 WESTWOOD DR, REHAB SERVICES
HAMILTON, MT 59840

Ravalli County (406) 375-4570

ANN L KIMMEL M.D.

Obstetrics & Gynecology

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 375-4777

MR. DYLAN C POWELL PA-C

Physician Assistant

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 363-0597

JENNIFER JOYNER MS CCC/SLP

Speech-Language Pathologist

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 363-2691

ALLEN W JONES JR. M.D.

Family Medicine

1200 WESTWOOD DR
HAMILTON, MT 59840

Ravalli County (406) 363-5101

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 Zubernis's NPI number?

The NPI number for James Zubernis is 1609974385. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is James Zubernis located?

James Zubernis practices at 1200 Westwood Dr, Hamilton, MT 59840. The listed phone number is (406) 375-4777.

What is James Zubernis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Zubernis enrolled in Medicare?

Yes. James Zubernis 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 Zubernis accept?

Health plans from Ambetter from Arizona Complete Health list James Zubernis 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 Zubernis affiliated with any hospitals?

According to CMS data, James Zubernis is affiliated with Banner Churchill Community Hospital.

When was this NPI record last updated?

The NPPES record for James Zubernis was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.