DR. DOMINIC RYAN TOMBURRINI D.O.
NPI 1114101144
Emergency Medicine in Grand Blanc, MI

Q: What is Dominic Tomburrini's NPI number?

The NPI number for Dominic Tomburrini is 1114101144. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Dominic Tomburrini's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 27, 2007PECOS EnrolledAccepts Medicare Assignment

97.59/100

CMS Quality Rating

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: March 20, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Dominic Ryan Tomburrini D.o. NPPES

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

DR. DOMINIC RYAN TOMBURRINI D.O. (NPI 1114101144) is an individual emergency medicine provider in Grand Blanc, Michigan, licensed in Michigan (5101016336) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Michigan State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1114101144

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOMINIC RYAN TOMBURRINICredential: D.O.

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address1 Genesys PkwyGrand Blanc, MI 48439-8065 · (810) 606-5000

Phone(810) 606-5000

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005

Enumeration DateDecember 27, 2007

Last NPPES UpdateMarch 20, 2009

✔ NPI 1114101144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101016336

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominic Ryan Tomburrini D.o. 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 ID4284718883

PECOS Enrollment IDI20090722000564

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 Billing Reassignments

Medicare enrollment records show Dominic Tomburrini reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edgerton Hospital And Health Services, Inc.

269 mi

Family Medicine

831 ARTHUR DR
Milton, WI 53563

Reassigned Medicare billing, Wisconsin enrollment
83 clinicians in this Medicare group

NPI 1326192261 (608) 868-3526

Dean Health Systems, Inc

292 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

Madison Emergency Physicians, Sc

292 mi

Emergency Medicine

700 S PARK ST
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
103 clinicians in this Medicare group

NPI 1588646095 (608) 258-6100

Mile Bluff Medical Center Inc

315 mi

Rural Health

28 COMMERCE ST
Wisconsin Dells, WI 53965

Reassigned Medicare billing, Wisconsin enrollment
189 clinicians in this Medicare group

NPI 1487734380 (608) 254-5888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services54 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.

42 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

23 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI

OwnershipProprietary

CMS Certification Number520109

Location1050 Division StMauston, WI 53948 · Juneau County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

97.59/100

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

Scored as part of a group practice

Quality

97.16

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.

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