DOMINIC J MINTALUCCI M.D.
NPI 1114126869
Orthopaedic Surgery - Hand Surgery in Santa Rosa, CA

Q: What is Dominic Mintalucci's NPI number?

The NPI number for Dominic Mintalucci is 1114126869. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Dominic Mintalucci's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment

77.85/100

CMS Quality Rating

1405 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 546-1922(707) 546-1897 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dominic J Mintalucci M.d. NPPES

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

DOMINIC J MINTALUCCI M.D. (NPI 1114126869) is an individual hand surgery provider in Santa Rosa, California, licensed in California (A126421) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1114126869

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDOMINIC J MINTALUCCICredential: M.D.

Location Address1405 MONTGOMERY DRSanta Rosa, CA 95405-4557

Mailing Address1405 Montgomery DrSanta Rosa, CA 95405-4557 · (707) 546-1922 · Fax (707) 546-1897

Phone(707) 546-1922

Fax(707) 546-1897

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2007

Enumeration DateJuly 13, 2007

Last NPPES UpdateOctober 4, 2013

✔ NPI 1114126869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in CA · A126421

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A126421 (CA)

1405 MONTGOMERY DR, Santa Rosa, CA 95405

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Other Identifiers 2

OtherA126421CA · License

Medicare PINHN132Z

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

Dominic J Mintalucci M.d. 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 ID1254574486

PECOS Enrollment IDI20130906000648

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 Reassignment

Medicare enrollment records show Dominic Mintalucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Orthopaedic Medical Group, Inc.

0.4 mi

Orthopaedic Surgery

1701 4TH ST STE 200
Santa Rosa, CA 95404

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1518907336 (707) 546-1922

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 23

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

1,079 services228 patients

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453

Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.

705 services79 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

474 services327 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.

391 services300 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

255 services158 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

218 services149 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.

217 services217 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.

103 services93 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

98 services59 patients

Repair of tendon, finger, and/or palm of hand 26145

This procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.

97 services46 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.

84 services84 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

70 services61 patients

Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.

67 services65 patients

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.

63 services60 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.

50 services48 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

33 services30 patients

Needle measurement of electrical activity in arm or leg muscles, 4 extremities 95864

This procedure, called an electromyography, measures the electrical activity in your arm and leg muscles. Small needles are inserted into the muscles in all four limbs to record the electrical signals, helping to diagnose muscle or nerve disorders.

17 services17 patients

Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938

This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.

17 services17 patients

Application of stress by physician for joint imaging 77071

This procedure involves a doctor applying pressure to your joint while capturing images. The stress helps reveal issues not visible in a relaxed state. It's like a workout for your joints under professional supervision. It's safe and aids in accurate diagnosis.

16 services16 patients

Placement of skin electrodes and measurement of central motor stimulation in arms and legs 95939

This procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.

16 services16 patients

X-ray of finger, minimum of 2 views 73140

15 services14 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

13 services11 patients

Removal of growth of muscle of hand or finger, less than 1.5 cm 26116

This procedure involves the surgical removal of a small growth, less than 1.5 cm, in the muscle of the hand or finger. It's done to eliminate discomfort or to prevent potential health issues. The process is safe and performed under local anesthesia.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

77.85/100

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

Scored as part of a group practice

Quality

60.32

Promoting Interoperability

100

Improvement Activities

Cost

65.85

Referred Medical Equipment & Supplies CMS DME claims 5

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809

DME-Orthotic Devices · category DF000N

3 suppliers45 claims46 services$181.10 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

3 suppliers97 claims114 services$59.84 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913

DME-Orthotic Devices · category DF000N

1 supplier16 claims16 services$200.02 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

3 suppliers63 claims88 services$66.23 avg. paid by Medicare

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf L3925

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$48.68 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 16

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

CAROLYN BARTLETT O.T., C.H.T.

Occupational Therapist (Hand)