DOMINIC KLOSOWSKI MD
NPI 1265162168
Family Medicine in Eugene, OR

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
1835 PEARL STREET, EUGENE, OR 97401(541) 762-6050(541) 762-6021 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominic Klosowski Md NPPES

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

DOMINIC KLOSOWSKI MD (NPI 1265162168) is an individual family medicine provider in Eugene, Oregon, licensed in Oregon (MD224652) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains a secondary practice location in Fruitport.

NPPES Registry Identity

NPI1265162168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINIC KLOSOWSKICredential: MD
Location Address1835 PEARL STREETEugene, OR 97401-8217
Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (877) 708-1119 · Fax (541) 278-8349
Fax(541) 762-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 14, 2022
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1265162168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · MD224652 Licensed in MI · 4351049991
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1835 PEARL STREET, Eugene, OR 97401

Secondary Practice Location 1

Location 13443 Farr RdFruitport, MI 49415-8779 · Phone (231) 672-2900

Accepted Insurance

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 Klosowski Md 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 ID2860908258
PECOS Enrollment IDI20250722003967
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.

Hospital Affiliations CMS Care Compare

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1835 PEARL STREET
EUGENE, OR 97401
Nurse Practitioner (Family)
1835 PEARL STREET
EUGENE, OR 97401

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 Klosowski's NPI number?

The NPI number for Dominic Klosowski is 1265162168. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Dominic Klosowski located?

Dominic Klosowski practices at 1835 Pearl Street, Eugene, OR 97401. The listed phone number is (541) 762-6050.

What is Dominic Klosowski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dominic Klosowski enrolled in Medicare?

Yes. Dominic Klosowski 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.

What insurance does Dominic Klosowski accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dominic Klosowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dominic Klosowski affiliated with any hospitals?

According to CMS data, Dominic Klosowski is affiliated with Sacred Heart Medical Center - Riverbend.

When was this NPI record last updated?

The NPPES record for Dominic Klosowski was last updated on July 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.