TIM D DOMINICK PA-C
NPI 1033536354
Physician Assistant in North Chesterfield, VA

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
76.36/100
CMS Quality Rating
1400 JOHNSTON WILLIS DR STE A, NORTH CHESTERFIELD, VA 23235(804) 379-8088 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2020, Jun 18, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Tim D Dominick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM D DOMINICK PA-C (NPI 1033536354) is an individual physician assistant in North Chesterfield, Virginia, licensed in Virginia (0110-006707) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Cjw Medical Center, and is a graduate of Eastern Virginia Medical School (2019).

NPPES Registry Identity

NPI1033536354
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIM D DOMINICKCredential: PA-C
Location Address1400 JOHNSTON WILLIS DR STE ANorth Chesterfield, VA 23235-4765
Mailing Address1115 Boulders Pkwy Ste 200North Chesterfield, VA 23225-4067 · (804) 560-5595 · Fax (804) 560-9029
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2019
Enumeration DateMarch 25, 2014
Last NPPES UpdateJune 8, 20203 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
NPI 1033536354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110-006707
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2085 (NC)
1400 JOHNSTON WILLIS DR STE A, North Chesterfield, VA 23235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tim D Dominick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244568848
PECOS Enrollment IDI20190820004083
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
387 services216 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
357 services227 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
348 services83 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
344 services145 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
290 services225 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
87 services58 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.16
Promoting Interoperability100
Improvement Activities40
Cost54.07

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers11 claims11 services$51.57 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers25 claims25 services$222.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1400 JOHNSTON WILLIS DR STE A
NORTH CHESTERFIELD, VA 23235
Physician Assistant
1400 JOHNSTON WILLIS DR STE A
NORTH CHESTERFIELD, VA 23235
Physical Therapist
1400 JOHNSTON WILLIS DR STE A
NORTH CHESTERFIELD, VA 23235
Physical Therapist
1400 JOHNSTON WILLIS DR STE A
NORTH CHESTERFIELD, VA 23235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Dominick's NPI number?

The NPI number for Tim Dominick is 1033536354. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Tim Dominick located?

Tim Dominick practices at 1400 Johnston Willis Dr Ste A, North Chesterfield, VA 23235. The listed phone number is (804) 379-8088.

What is Tim Dominick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tim Dominick enrolled in Medicare?

Yes. Tim Dominick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tim Dominick affiliated with any hospitals?

According to CMS data, Tim Dominick is affiliated with Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tim Dominick was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.