CRYSTAL DAWN ZOMER M.D.
NPI 1639598717
Pediatrics in Kalispell, MT
NPI Status: Active since April 16, 2014
Contact Information
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
Phone: (406) 751-5310
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About CRYSTAL ZOMER
This page provides the complete NPI Profile along with additional information for Crystal Zomer, a pediatrician established in Kalispell, Montana with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1639598717 assigned on April 2014. The practitioner's primary taxonomy code is 208000000X with license number 58010 (MT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1639598717
- Provider Name
- CRYSTAL DAWN ZOMER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 310 SUNNYVIEW LN KALISPELL, MT 59901
- Location Phone
- (406) 751-5310
- Mailing Address
- 310 SUNNYVIEW LN KALISPELL, MT 59901
- Mailing Phone
- (406) 751-5310
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-16-2014
- Last Update Date
- 03-04-2024
- Code Navigator
A pediatrician like Crystal Zomer is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 58010
- License State
- MT
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? 902 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? 903 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Crystal Zomer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 59901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.97
- Minimum New Patient Price $56.81
- Maximum New Patient Price $172.26
- Average New Patient Copayment $21.99
- Minimum New Patient Copayment $14.2
- Maximum New Patient Copayment $43.06
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.16
- Minimum Established Patient Price $18.24
- Maximum Established Patient Price $140.32
- Average Established Patient Copayment $25.04
- Minimum Established Patient Copayment $4.56
- Maximum Established Patient Copayment $35.08
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CRYSTAL DAWN ZOMER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 9 | 8 | 7 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 9 | 16 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 9 + 1 + 6 + 7 + 2 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1639598717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. HARLEY JOHN BROTHERTON II PHARMD.
Pharmacist
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
LARAYNE K OLTZ CRMA
Nurse Anesthetist, Certified Registered
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
TAFFORD E OLTZ CRNA
Nurse Anesthetist, Certified Registered
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
APPLIED HEALTH SERVICES INC
Clinic/Center
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
WILLIAM KEITH LARA MD
Emergency Medicine
310 SUNNYVIEW LN
EMERGENCY DEPT
KALISPELL, MT
ZIP 59901
DR. PETER H GREENMAN MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
NORTHERN ROCKIES ANESTHESIA CONSULTANTS PLLC
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
SAVITA K. CHAUDHRY MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
CARL D. TINLIN DO
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
WILLIAM H. HOFFMAN MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
DAVID L. INGRAM MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
BRADFORD L. OLSON MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
MICHAEL A. SUGARMAN MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
DR. JOHN DAVID WALKER M.D.
Specialist
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
DR. MICHAEL W ROBLEY MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
KALISPELL ACUTE CARE SERVICES LLC
Hospitalist
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
DR. JONATHAN C ANDERSON MD
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
DR. MARSHALL VAN CAMPEN DRESSEL M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
ZACHARY WEBER MD
Pathology
(Anatomic Pathology & Clinical Pathology)
310 SUNNYVIEW LN
GLACIER REGIONAL PATHOLOGY
KALISPELL, MT
ZIP 59901
DR. THOMAS JAMES HARRELL M.D.
Anesthesiology
310 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639598717, enumerated as an "individual" on April 16, 2014.
The provider is located at 310 SUNNYVIEW LN KALISPELL, MT 59901 and the phone number is (406) 751-5310.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana and Mountain. Please consult your insurance carrier or call the provider to verify.
