Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMINICK JACOB TROMBETTA MD
NPI 1073975058
Psychiatry & Neurology - Child & Adolescent Psychiatry in Rapid City, SD

Q: What is Dominick Trombetta's NPI number?

The NPI number for Dominick Trombetta is 1073975058. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Dominick Trombetta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since March 28, 2016PECOS Enrolled

93.58/100

CMS Quality Rating

3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2500(605) 355-2517 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, Aug 17, 2021, Mar 28, 2016 (3 updates tracked since 2016).

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About Dominick Jacob Trombetta Md NPPES

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

DOMINICK JACOB TROMBETTA MD (NPI 1073975058) is an individual child & adolescent psychiatry provider in Rapid City, South Dakota, licensed in South Dakota (12796) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073975058

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDOMINICK JACOB TROMBETTACredential: MD

Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114

Mailing Address2521 E 15th StCasper, WY 82609-4126 · (605) 237-7444

Phone(605) 355-2500

Fax(605) 355-2517

Sole ProprietorNo

Enumeration DateMarch 28, 2016

Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1073975058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in SD · 12796

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 12796 (SD)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3200 CANYON LAKE DR, Rapid City, SD 57702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick Jacob Trombetta Md 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.

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.

93.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.16

Improvement Activities

Other Providers at the Same Location NPPES 20

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

ABBYGAIL BINGHAM MLT

Technician, Pathology