JEFFREY PAUL DOMBROSKI MD NPI 1235396961
Specialist in Alpena, MI

About JEFFREY PAUL DOMBROSKI MD

Jeffrey Dombroski is a provider established in Alpena, Michigan and his medical specialization is Specialist with more than 20 years of experience. He graduated from Wayne State University School Of Medicine in 2003. The NPI number of Jeffrey Dombroski is 1235396961 and was assigned on May 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1235396961
Provider Name JEFFREY PAUL DOMBROSKI MD
Location Address401 LONG RAPIDS PLZ ALPENA, MI 49707
Location Phone(989) 356-9333
Mailing Address401 LONG RAPIDS PLZ ALPENA, MI 49707
GenderMale
NPI Entity TypeIndividual
Medical School NameWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?Yes
Enumeration Date05-20-2008
Last Update Date02-08-2010

Jeffrey Dombroski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jeffrey Dombroski is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Midmichigan Medical Center - Alpena.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JEFFREY PAUL DOMBROSKI MD
401 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707
Phone: (989) 356-9333

Get Directions


Mailing Address

JEFFREY PAUL DOMBROSKI MD
401 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707
Phone: (989) 356-9333


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7315000551
PECOS Enrollment IDI20090918000353
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 94.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 67
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 72.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 87.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1720Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 302Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 138X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 100X-ray of knee, 4 or more views (HCPCS:73564)
  • 80X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 29X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 26X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 24Repair of knee joint (HCPCS:27447)
  • 23X-ray of knee, 3 views (HCPCS:73562)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Dombroski is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MIDMICHIGAN MEDICAL CENTER - ALPENA1501 W CHISHOLM ST
ALPENA, MI 49707
(989) 356-7390Acute Care Hospitals230036

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1235396961OTHER (01)MI3860000029

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235396961
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22656912912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 9 + 1 + 2 + 9 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1235396961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093724999 STEVEN E VORENKAMP MD
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1639170517 ERIC ROBERT CORNISH M.D.
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1366702193MR. MICHAEL JOHNSON
Individual
Physician Assistant401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1881992881DR. KIEL THOMAS BELTINCK D.O.
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1801982814ALPENA REGIONAL MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-7390
1629146691MIDMICHIGAN MEDICAL CENTER-ALPENA
Organization
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1992048284 KRISTALYN J MAUCH MD
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1215568548 KELLY BATES P.A.
Individual
Physician Assistant401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333

Frequently Asked Questions

What is Jeffrey Dombroski MD NPI number?

The NPI number assigned to Jeffrey Dombroski MD is 1235396961, registered as an "individual" on May 20, 2008

Where is Jeffrey Dombroski MD located?

The provider is located at 401 Long Rapids Plz Alpena, Mi 49707 and the phone number is (989) 356-9333

Which is Jeffrey Dombroski MD specialty?

The provider's speciality is Specialist

How many years of experience does Jeffrey Dombroski MD have?

The provider has more than 20 years of experience. He graduated from Wayne State University School Of Medicine in 2003.

What insurance does Jeffrey Dombroski MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Jeffrey Dombroski MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Jeffrey Dombroski MD?

The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Aspiration and/or injection of large joint or joint capsule, X-ray of foot, minimum of 3 views, X-ray of knee, 4 or more views, X-ray of ribs of one side of body, minimum of 2 views, X-ray of wrist, minimum of 3 views, X-ray of shoulder, minimum of 2 views, Repair of knee joint and X-ray of knee, 3 views.

Is Jeffrey Dombroski MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MIDMICHIGAN MEDICAL CENTER - ALPENA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Jeffrey Dombroski MD was last updated on May 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]