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THOMAS DOTRO PHYSICIAN ASSISTANT
NPI 1083716922
Physician Assistant in Berkeley Heights, NJ

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8940 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Dotro Physician Assistant NPPES

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

THOMAS DOTRO PHYSICIAN ASSISTANT (NPI 1083716922) is an individual physician assistant in Berkeley Heights, New Jersey, licensed in New Jersey (25MP0011200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and maintains a secondary practice location in Flemington.

NPPES Registry Identity

NPI1083716922
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS DOTROCredential: PHYSICIAN ASSISTANT
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104
Mailing Address2100 Wescott DrFlemington, NJ 08822-4603 · (908) 788-6183
Phone(908) 277-8940
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 1, 2006
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1083716922 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 NJ · 25MP0011200
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.
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922
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Secondary Practice Location 1

Location 12100 Wescott DrFlemington, NJ 08822-4603 · Phone (908) 788-6183

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

Thomas Dotro Physician Assistant 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 ID2860468212
PECOS Enrollment IDI20040907001102
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
131 services127 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services105 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
51 services49 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm 12002
This is a procedure to mend a surface wound measuring between 2.6-7.5 cm on your scalp, neck, underarms, trunk, arms, or legs. It involves cleaning, closing and dressing the wound to promote healing and prevent infection.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

SILPA GADIRAJU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DR. JOHN H DOKKO DO
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DENISE RIZZOLO PA
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
MARIA F DOMINGUEZ BERMEO MD
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 219-6940
DR. LAWRENCE J NASTRO MD
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DEBRA A RYAN PT
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
CHRISTOPHER M BONI DO
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8683
LAUREN BARON P.A.
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8880

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 Thomas Dotro's NPI number?

The NPI number for Thomas Dotro is 1083716922. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Thomas Dotro located?

Thomas Dotro practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8940.

What is Thomas Dotro's specialty?

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

Is Thomas Dotro enrolled in Medicare?

Yes. Thomas Dotro 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 Thomas Dotro affiliated with any hospitals?

According to CMS data, Thomas Dotro is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Dotro was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.