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DOMINIC TELLEZ PA
NPI 1043544091
Physician Assistant in Las Cruces, NM

Active since September 23, 2009PECOS Enrolled
1600 PHTORPE ROAD, LAS CRUCES, NM 88012(575) 526-6200(575) 526-2266 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominic Tellez Pa NPPES

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

DOMINIC TELLEZ PA (NPI 1043544091) is an individual physician assistant in Las Cruces, New Mexico, licensed in New Mexico (PA2009-0029) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043544091
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIC TELLEZCredential: PA
Location Address1600 PHTORPE ROADLas Cruces, NM 88012
Mailing AddressPo Box 370Hatch, NM 87937-0370 · (575) 267-3280 · Fax (575) 267-1747
Phone(575) 526-6200
Fax(575) 526-2266
Sole ProprietorNo
Enumeration DateSeptember 23, 2009
✔ NPI 1043544091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2009-0029
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.
1600 PHTORPE ROAD, Las Cruces, NM 88012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominic Tellez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88012 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Dominic Tellez's NPI number?

The NPI number for Dominic Tellez is 1043544091. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Dominic Tellez located?

Dominic Tellez practices at 1600 Phtorpe Road, Las Cruces, NM 88012. The listed phone number is (575) 526-6200.

What is Dominic Tellez's specialty?

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

Is Dominic Tellez enrolled in Medicare?

Yes. Dominic Tellez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Tellez was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.