Individual provider Active NPI

James J Zubernis, DO

  • Obstetrics & Gynecology Physician
  • Hamilton, MT
National Provider Identifier
1609974385
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
062302 Issued in GA
Practice address
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone
(406) 375-4777
Fax
(406) 375-4778
NPI assigned
Sep 20, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9535A WY
Obstetrics & Gynecology Physician 207V00000X 26750 MT
Obstetrics & Gynecology Physician 207V00000X 8895 SD
Obstetrics & Gynecology Physician 207V00000X 5101016269 MI
Obstetrics & Gynecology Physician 207V00000X 9887 ND
Obstetrics & Gynecology Physician 207V00000X 062302 GA Primary

Addresses

Primary practice location

1200 Westwood Dr
Hamilton, MT 59840-2345

Mailing address

917 W Gordon St
Thomaston, GA 30286-3427
Phone (706) 647-9627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NV, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091109000310 GA Practitioner - Obstetrics/Gynecology 6507767381 Reassigns benefits to 2 organizations
I20221104000981 NV Practitioner - Obstetrics/Gynecology 6507767381 Reassigns benefits to 2 organizations
I20260613000449 OK Practitioner - Obstetrics/Gynecology 6507767381

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Williams Ave
Fallon, NV 89406-3052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
062302GAMDObstetrics & Gynecology Physician
5101016269MIMDObstetrics & Gynecology Physician
26750MTMDObstetrics & Gynecology Physician
9887NDMDObstetrics & Gynecology Physician
8895SDMDObstetrics & Gynecology Physician
9535AWYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Dec 1, 2022 Accepting new patients
Banner Churchill Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Apr 18, 2010 Accepting new patients
Banner Health Physicians West LLC CurrentSince Dec 1, 2022 Accepting new patients
Upson Womens Services LLC Obstetrics & Gynecology CurrentSince Oct 7, 2019 Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients
Upson Family Physicians, LC Past Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

214 Cherokee Rd
Thomaston, GA 30286
Phone (706) 647-9627

917 W Gordon St
Thomaston, GA 30286

917 W Gordon St
#A
Thomaston, GA 30286
Phone (678) 416-2308

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1609974385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863427",
            "telephone_number": "706-647-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-375-4777",
            "fax_number": "406-375-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBERNIS",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "9535A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "26750",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "8895",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016269",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ND",
            "license": "9887",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "062302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.