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

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: July 26, 2026.

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
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

Other Identifiers 2

OtherA126421CA · License
Medicare PINHN132Z

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

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.

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

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
Quality60.32
Promoting Interoperability100
Improvement Activities40
Cost65.85

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.

Occupational Therapist (Hand)
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Physician Assistant
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Physician Assistant
1405 MONTGOMERY DR
SANTA ROSA, CA 95405

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 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.

Where is Dominic Mintalucci located?

Dominic Mintalucci practices at 1405 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 546-1922.

What is Dominic Mintalucci's specialty?

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

Is Dominic Mintalucci enrolled in Medicare?

Yes. Dominic Mintalucci 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.

When was this NPI record last updated?

The NPPES record for Dominic Mintalucci was last updated on October 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.