Dr. James C. Zmolek, MD
- Medicare services, 2024
- 1,586
- Medicare patients, 2024
- 510
- Part D claims, 2024
- 736
- Publications
- 1
- Hospital affiliations
- 2
- Practice address
- 4151 Foothill Road, Santa Barbara, CA 93110
- Practice phone
- Call (805) 681-1760
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Foothill Surgery Center at Sansum Clinic
Surgery Center - Medicare-Certified · Santa Barbara, California
Find Dr. Zmolek's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. James C. Zmolek is an orthopedic surgeon in Santa Barbara, California
Dr. Zmolek practices at Foothill Surgery Center at Sansum Clinic in Santa Barbara, California.
Dr. Zmolek's NPI, 1417960154, was assigned on August 14, 2006. Dr. Zmolek graduated from David Geffen School of Medicine at UCLA in 1984. Dr. Zmolek holds California license G55411.
- NPI
- 1417960154NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0840482568
- NPI enumeration date
- August 14, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (805) 681-1760
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 68
- Medical school graduation
- 1984
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James C. Zmolek practices at Foothill Surgery Center at Sansum Clinic in Santa Barbara, California
Dr. Zmolek's primary practice is Foothill Surgery Center at Sansum Clinic, at 4151 Foothill Road, Santa Barbara, CA 93110. The practice phone is (805) 681-1760.
- Foothill Surgery Center at Sansum Clinic4151 Foothill Road, Santa Barbara, CA 93110Phone(805) 681-1760
Source: Dmand AI Affiliation Data
Dr. James C. Zmolek is affiliated with 8 sites of care and 1 medical group
Dr. Zmolek's primary practice is Foothill Surgery Center at Sansum Clinic in Santa Barbara, California. Dr. Zmolek is also affiliated with Santa Barbara Cottage Hospital. The medical group on file is Sansum Clinic. Dmand AI also links Dr. Zmolek to 1 more hospital, 4 home health agencies and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. James C. Zmolek's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Zmolek practices, 8 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Foothill Surgery Center at Sansum Clinic | Available with a free account |
| +7 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James C. Zmolek is one of 2,056 orthopedic surgeons in California
Orthopaedic surgery is Dr. Zmolek's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Zmolek is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dr. Zmolek is licensed in California.
Specialties and state licenses
- Orthopaedic surgery, CaliforniaPrimary
Clinical focus
Dmand AI lists arthritis, bursitis, chest wall injury, hand joint or tendon inflammation, hip replacement, joint cyst, knee arthroscopy and knee fracture and dislocation among the conditions Dr. Zmolek treats.
Orthopedic surgeons near Dr. Zmolek
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James C. Zmolek billed Medicare for 1,586 services in 2024
CMS data shows 1,586 Medicare services from Dr. Zmolek across 12 procedure codes in 2024, for 510 Medicare patients. Medicare paid $172,337 for them.
Dr. Zmolek's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6442024: 6204%
- Drugs given in the office
- 2023: 7112024: 61813%
- Surgery
- 2023: 4302024: 34819%
Where Dr. Zmolek's Medicare services took place, 2024
- In an office1,43290%
- In a facility15410%
Dr. Zmolek compared with the California median for orthopedic surgeons, 2024
- Dr. Zmolek
- California median
- Medicare services
- 1,586vs 6832.3 times
- Medicare patients
- 510vs 2152.4 times
- Part D claims
- 675vs 709.6 times
Medians across 1,844 orthopedic surgeons in California with Dmand AI profiles that report each measure.
Dr. Zmolek's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Zmolek?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Zmolek and other orthopedic surgeons in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James C. Zmolek treated 510 Medicare patients in 2024, average age 74
CMS counts 510 Medicare patients who saw Dr. Zmolek in 2024. The largest group is 65 to 74, with 253 patients. 75% of them have arthritis, and 74% have high cholesterol. 12% are also on Medicaid. Their average risk score is 1.04, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Zmolek's median patient age at 72, with 59% women.
Dr. Zmolek's Medicare patients by age, 2024
Dr. Zmolek's Medicare patients by sex, 2024
- Women27955%
- Men23145%
Chronic conditions among Dr. Zmolek's Medicare patients, 2024
- Arthritis75%
- High cholesterol74%
- High blood pressure61%
- Mood disorders24%
- Depression22%
- Diabetes21%
- Chronic kidney disease20%
- Osteoporosis19%
Share of Medicare patients with each condition. A patient can have several.
Dr. Zmolek's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women59%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James C. Zmolek wrote 736 Medicare Part D claims in 2024
In 2024, Dr. Zmolek wrote 736 Medicare Part D claims for 237 patients. 100% of them were for generic drugs. CMS names the drug for 675 of them, across 13 drugs with 11 or more claims each, at $5,677 in total drug cost. In 2023, CMS named 583 claims across 10 drugs.
Dr. Zmolek's Part D claims by kind of drug, 2024
- Generic733 claims100%
- Brand-name and other3 claims0%
Dr. Zmolek's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Zmolek's Part D claims, 2024
- Opioids58%424 of 736 claims
- Antibiotics13%92 of 736 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 5832024: 67516%
Drugs named by CMS: 13 in 2024, 10 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. James C. Zmolek ranks in the 84th percentile for knee replacement in Medicare
Dr. Zmolek accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Zmolek as offering telehealth. CMS counts 61 procedures of knee replacement by Dr. Zmolek, more than 84% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Where Dr. Zmolek ranks in Medicare procedure volume
- Knee replacement
- 84th percentile61 procedures
- Hip replacement
- 82nd percentile39 procedures
- Lower limb (leg) arthroscopy (minimally invasive joint repair)
- 83rd percentile12 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Upper limb (arm) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. James C. Zmolek has 1 publication on record
Dmand AI links 1 paper to Dr. Zmolek.
Recent publications by Dr. Zmolek
See who Dr. Zmolek researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Zmolek works with, so you can find a warm path to the right orthopedic surgeons.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. James C. Zmolek received $4,580 in industry payments from 2016 to 2025
CMS Open Payments shows 107 general payments to Dr. Zmolek from 20 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 83% of the total. Zimmer Biomet Holdings, Inc. paid the most, $1,658.
General payments to Dr. Zmolek by program year, 2016 to 2025
General payments to Dr. Zmolek by kind, 2016 to 2025
- Food and beverage$3,80083%
- Travel and lodging$64114%
- Education$1393%
Companies that paid Dr. Zmolek the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James C. Zmolek has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Zmolek, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Zmolek
- 2013
- CMS Stage 1 EHR
- Top Doctors:LA Area
Source: Dmand AI Professional Profile Data
Dr. James C. Zmolek graduated from David Geffen School of Medicine at UCLA
Dr. Zmolek graduated from David Geffen School of Medicine at UCLA in 1984.
- Medical school
- Board certified in orthopaedic surgery
Source: Dmand AI Professional Profile Data
Dr. James C. Zmolek accepts plans from 13 insurance carriers
Dr. Zmolek is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Regence Health Plans
- Alliant Health Plans
- +5 more carriersWith a free account
Plan types Dr. Zmolek accepts, by number of carriers
- PPO9
- Medicare7
- HMO6
- EPO4
- POS3
Source: Dmand AI Insurance Network Data
Sources for Dr. James C. Zmolek's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. James C. Zmolek
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. James C. Zmolek's NPI number?
Dr. James C. Zmolek's NPI number is 1417960154. It was assigned on August 14, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. James C. Zmolek?
Dr. James C. Zmolek is an orthopedic surgeon in Santa Barbara, California. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. James C. Zmolek practice?
Dr. Zmolek practices at 4151 Foothill Road, Santa Barbara, CA 93110. Dr. Zmolek's primary practice is Foothill Surgery Center at Sansum Clinic in Santa Barbara, California. Dmand AI also links Dr. Zmolek to 1 hospital, 4 home health agencies and 1 group practice or clinic.
What is Dr. James C. Zmolek's office phone number?
The practice phone on file for Dr. Zmolek is (805) 681-1760.
What is Dr. James C. Zmolek's medical license number?
Dr. Zmolek holds California license G55411.
Which hospitals is Dr. James C. Zmolek affiliated with?
Dr. Zmolek is affiliated with Santa Barbara Cottage Hospital. Dmand AI links Dr. Zmolek to 1 more hospital.
What medical group is Dr. James C. Zmolek part of?
Dr. Zmolek is linked to Sansum Clinic.
Does Dr. James C. Zmolek accept Medicare?
Yes. CMS data shows Dr. Zmolek billed Medicare for 1,586 services in 2024, and Dr. Zmolek accepts Medicare assignment.
Does Dr. James C. Zmolek offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Zmolek as offering telehealth services.
How many Medicare patients does Dr. James C. Zmolek see?
CMS counts 510 Medicare patients who saw Dr. Zmolek in 2024, with an average age of 74.
Show 8 more questionsShow fewer questions
Is Dr. James C. Zmolek board certified?
Yes. Dr. Zmolek is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery.
What services does Dr. James C. Zmolek bill to Medicare?
In 2024, Dr. Zmolek's most billed Medicare services were injected or infused drug (J3301), office visit, established patient (99214) and surgery: bones and joints (20610).
Where did Dr. James C. Zmolek go to medical school?
Dr. Zmolek graduated from David Geffen School of Medicine at UCLA in 1984.
What drugs does Dr. James C. Zmolek prescribe most?
In 2024 Medicare Part D data, Dr. Zmolek's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Tramadol HCl and Celecoxib.
Has Dr. James C. Zmolek received payments from drug or device companies?
CMS Open Payments shows $4,580 in general payments to Dr. Zmolek from 20 companies from 2016 to 2025. The largest total came from Zimmer Biomet Holdings, Inc.
How long has Dr. James C. Zmolek been practicing?
Dr. Zmolek graduated from medical school in 1984, 42 years ago.
Does Dr. James C. Zmolek do research?
Dmand AI links 1 publication to Dr. Zmolek.
What insurance does Dr. James C. Zmolek accept?
Dr. Zmolek is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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