ALICIA R BOMMERSBACH PHYSICIAN ASSISTANT
NPI 1245244516
Physician Assistant - Medical in Williamsville, NY

Q: What is Alicia Bommersbach's NPI number?

The NPI number for Alicia Bommersbach is 1245244516. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Alicia Bommersbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since July 29, 2006PECOS Enrolled

84.47/100

CMS Quality Rating

295 ESSJAY RD, WILLIAMSVILLE, NY 14221(716) 630-1022(716) 250-5958 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 4, 2023, Nov 2, 2021, Feb 26, 2021 (3 updates tracked since 2021).

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About Alicia R Bommersbach Physician Assistant NPPES

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

ALICIA R BOMMERSBACH PHYSICIAN ASSISTANT (NPI 1245244516) is an individual medical provider in Williamsville, New York, licensed in New York (011319) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245244516

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameALICIA R BOMMERSBACHCredential: PHYSICIAN ASSISTANT

Location Address295 ESSJAY RDWilliamsville, NY 14221-8216

Mailing Address6255 Sheridan Dr, Suite 304Williamsville, NY 14221-4836 · (716) 857-8666 · Fax (716) 857-8944

Phone(716) 630-1022

Fax(716) 250-5958

Sole ProprietorNo

Enumeration DateJuly 29, 2006

Last NPPES UpdateApril 4, 20233 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1245244516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 011319

295 ESSJAY RD, Williamsville, NY 14221

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Other Identifiers 4

Other000528705001NY · Health Now

Other9513979NY · Independent Health

Other00027739701NY · Univera

Medicaid02808822NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia R Bommersbach Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

84.47/100

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

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

Referred Medical Equipment & Supplies CMS DME claims

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

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$9.38 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 20

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

YIJUN CHENG M.D.

Internal Medicine (Hematology & Oncology)