1. Home
  2. Directory
  3. Montana
  4. Hamilton
  5. Obstetrics Gynecology
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, CommunityCare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Zubernis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. John Physicians, Inc
1,146 mi
Rural Health
112 NORTH 5TH STREET
Barnsdall, OK 74002
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 clinicians in this Medicare group
NPI 1033176367 (918) 847-2558
Emory Specialty Associates, LLC
1,786 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888
Upson Womens Services LLC
1,824 mi
Obstetrics & Gynecology
214 CHEROKEE RD
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1881842821 (706) 647-9627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Interoperability100
Improvement Activities40
Cost31.42

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.

Which organizations bill Medicare for James Zubernis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Zubernis reassigns Medicare benefits to 3 organizations: St. John Physicians, Inc (Barnsdall, OK), Emory Specialty Associates, LLC (Lagrange, GA) and Upson Womens Services LLC (Thomaston, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Zubernis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Zubernis accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and CommunityCare 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 4 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.