James Zmolek, M.D.
NPI 1417960154 · Orthopaedic Surgery Physician · Santa Barbara, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Zmolek, M.D. is a Orthopaedic Surgery Physician provider in Santa Barbara, CA (NPI 1417960154).
Provider details
- NPI number
- 1417960154
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G55411 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
968 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 234 | $135 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 194 | $77 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 182 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 181 | $96 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 53 | $1,300 |
| Computer-Assisted Surgery for Muscle and Bone Procedure |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 172 | 102 |
| Tramadol Hcl | 152 | 84 |
| Celecoxib | 79 | 21 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 78 | 32 |
| Amoxicillin | 51 | 36 |
| Cephalexin | 24 | 21 |
| Mupirocin | 22 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$170 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2008-05-22
Frequently asked questions
- What is James Zmolek's NPI number?
- James Zmolek's National Provider Identifier (NPI) is 1417960154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Zmolek's specialty?
- James Zmolek is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Zmolek located?
- James Zmolek's practice location on file with NPPES is 215 Pesetas Ln, Santa Barbara, CA 93110-1416.
- What is James Zmolek's phone number?
- The practice phone number listed in the NPPES registry for James Zmolek is (805) 681-1761.
- Does James Zmolek accept Medicare?
- James Zmolek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Zmolek's NPI active?
- Yes — James Zmolek's NPI (1417960154) is active in the NPPES registry as of the last update on 2008-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.