DR. ANTHONY DOLOMISIEWICZ MD
NPI 1023515129
Internal Medicine - Rheumatology in Rogers, AR

NPI Status: Active since April 06, 2018

Contact Information

1002 S 52ND ST
ROGERS, AR
ZIP 72758
Phone: (479) 338-3722
Fax: (479) 338-3724

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 8
Internal Medicine
Rheumatology
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About ANTHONY DOLOMISIEWICZ

This page provides the complete NPI Profile along with additional information for Anthony Dolomisiewicz, an internist established in Rogers, Arkansas with a medical specialization in Internal Medicine, focusing in rheumatology and more than 8 years of experience. He graduated from Texas A & M University System, Hsc, College Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1023515129 assigned on April 2018. The practitioner's primary taxonomy code is 207RR0500X with license number E16563 (AR). The provider is registered as an individual and his NPI record was last updated 2 years ago. Anthony Dolomisiewicz operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI: 1023515129
Provider Name: DR. ANTHONY DOLOMISIEWICZ MD
Gender: Male
Entity Type: Individual
Location Address: 1002 S 52ND ST ROGERS, AR 72758
Location Phone: (479) 338-3722
Location Fax: (479) 338-3724
Mailing Address: PO BOX 776084 CHICAGO, IL 60677
Mailing Phone: (314) 364-4200
Mailing Fax: (479) 338-3724
Medical School Name: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year: 2018
Is Sole Proprietor?: Yes
Enumeration Date: 04-06-2018
Last Update Date: 08-10-2023
Code Navigator

An internist like Anthony Dolomisiewicz is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

1 University Of New Mexico
Albuquerque, NM 87131
(505) 272-4661

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: Internal Medicine Rheumatology
Taxonomy Code: 207RR0500X
Type: Allopathic & Osteopathic Physicians
License No.: E16563
License State: AR
Taxonomy Description: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

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	(NM)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Arkansas Blue Cross and Blue Shield

Bronze Exp Standardized - PPO
Bronze Value - PPO
Gold Standardized - PPO
Silver AH - PPO
Silver Standardized - PPO
Silver Value - PPO
Dental Gold - PPO
Dental Gold Plus Vision - PPO
Dental Pediatric - PPO
Dental Platinum - PPO
Dental Platinum Plus Vision - PPO
Dental Platinum Premium - PPO
Dental Platinum Premium Plus Vision - PPO
Dental Silver - PPO

Health Advantage

HA Bronze Exp Standardized - POS
HA Bronze Suitcase - POS
HA Gold Standardized - POS
HA Silver AH - POS
HA Silver Premier Suitcase - POS
HA Silver Standardized - POS

Octave

Octave Bronze Exp Standardized - POS
Octave Bronze Value - POS
Octave Gold Standardized - POS
Octave Silver AH - POS
Octave Silver Classic Suitcase - POS
Octave Silver Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anthony Dolomisiewicz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anthony Dolomisiewicz 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
PECOS PAC ID: 4789932120
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20230824000529
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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 typical physician office visit costs for Medicare beneficiaries in this area are: $29.84 for a new patient copayment and $22.9 for an established patient copayment.

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 72758 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $119.36
Minimum New Patient Price $51.36
Maximum New Patient Price $157.74

Average New Patient Copayment $29.84
Minimum New Patient Copayment $12.84
Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $91.63
Minimum Established Patient Price $16.16
Maximum Established Patient Price $128.77

Average Established Patient Copayment $22.9
Minimum Established Patient Copayment $4.04
Maximum Established Patient Copayment $32.19

* 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.

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	0	2	3	5	1	5	1	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	4	3	10	1	10	1	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 0 + 1 + 1 + 0 + 1 + 4 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 9									9

The NPI number 1023515129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.