2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1891894606 D.O.
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JAMES ZIRUL, D.O.

Otolaryngology/Facial Plastic Surgery Physician in KENAI, Alaska. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
108
Medicare Part D claims · 46 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561

What the federal data shows

JAMES ZIRUL, D.O. filed 108 Medicare Part D claims in 2023 as a Otolaryngology/Facial Plastic Surgery Physician in KENAI, Alaska.

108
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES ZIRUL, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

108 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JAMES ZIRUL, D.O. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES ZIRUL, D.O.?

Quality data not reported

NPI registry status

Active

Issued 09/21/2006

NPI 1891894606

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

108 81% vs specialty avg

2023 prescription claims

Specialty avg: 561

Specialty distribution in Alaska

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among Alaska providers

Alaska providers

Otolaryngology/Facial Plastic Surgery Physician share within Alaska

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within Alaska

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology/Facial Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology/Facial Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology/Facial Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology/Facial Plastic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES ZIRUL, D.O. is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in KENAI, Alaska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1891894606. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES ZIRUL, D.O. appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding D.O. credentials at 220 SPUR VIEW DRIVE, KENAI, AK, 99611, with a listed phone of (907) 283-5400. NPI 1891894606 was issued on 09/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZIRUL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 108 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $3K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

220 SPUR VIEW DRIVE
KENAI, AK 99611

Provider Details

NPI 1891894606
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 09/21/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

108
Total Claims
$3K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
118
Total Day Supply
2,101
Generic Drug Cost
$2K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.27
Gender Split
52% female / 48% male

Otolaryngology/Facial Plastic Surgery Physician Overview

How JAMES ZIRUL, D.O. fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

JAMES ZIRUL, D.O.'s 108 claims are below the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in Alaska

Other clinicians with the same primary specialty enrolled in Alaska, drawn from the same CMS NPPES roster as ZIRUL.

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES ZIRUL, D.O.'s specialty?
JAMES ZIRUL, D.O. specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in KENAI, Alaska. Credentials: D.O..
How much does JAMES ZIRUL, D.O. prescribe under Medicare Part D?
In 2023, JAMES ZIRUL, D.O. wrote 108 Medicare Part D claims totaling $3K in drug costs for 46 beneficiaries.
Where is JAMES ZIRUL, D.O. located?
JAMES ZIRUL, D.O. is located at 220 SPUR VIEW DRIVE, KENAI, AK, 99611. Phone: (907) 283-5400.
What is JAMES ZIRUL, D.O.'s NPI number?
JAMES ZIRUL, D.O.'s National Provider Identifier (NPI) is 1891894606, issued on 09/21/2006.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
Does JAMES ZIRUL, D.O. accept Medicare?
JAMES ZIRUL, D.O. appears in CMS Medicare data with 108 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ZIRUL, D.O.'s credentials?
JAMES ZIRUL, D.O.'s NPI is 1891894606 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology