1. Home
  2. Directory
  3. Massachusetts
  4. Fitchburg
  5. Family Medicine
  6. NPI Profile

DR. ZBIGNIEW DOMBEK M.D.
NPI 1316907249
Family Medicine in Fitchburg, MA

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
76 SUMMER ST, SUITE 050, FITCHBURG, MA 01420(978) 353-0004(978) 353-0034 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zbigniew Dombek M.d. NPPES

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

DR. ZBIGNIEW DOMBEK M.D. (NPI 1316907249) is an individual family medicine provider in Fitchburg, Massachusetts, licensed in Massachusetts (154192) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1316907249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ZBIGNIEW DOMBEKCredential: M.D.
Location Address76 SUMMER ST, SUITE 050Fitchburg, MA 01420-5783
Mailing Address76 Summer St, Suite 050Fitchburg, MA 01420-5783 · (978) 353-0004 · Fax (978) 353-0034
Phone(978) 353-0004
Fax(978) 353-0034
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 1, 2017
✔ NPI 1316907249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 154192
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.
76 SUMMER ST, Fitchburg, MA 01420
Open in Google Maps ↗

Other Identifiers 3

Medicaid3171892MA
Medicare UPING58234MA
Medicare ID-Type UnspecifiedA23059MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Zbigniew Dombek 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 ID5294787537
PECOS Enrollment IDI20050215000978
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 9

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.

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.
121 services81 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.
113 services69 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
109 services109 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.
108 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
105 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01420 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%970 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%40 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%597 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%597 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
48%597 patients4/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers50 claims113 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims26 services$1.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers23 claims23 services$200.67 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.

JULIA SCAFIDI M.S
Behavior Analyst
76 SUMMER ST
FITCHBURG, MA 01420
Worcester County (978) 602-4957
MRS. KELLY ANN MONTEVERDE L.M.H.C
Counselor (Mental Health)
76 SUMMER ST, 200
FITCHBURG, MA 01420
Worcester County (978) 345-9400
MRS. MAUREEN E CASEY B.A.
Case Manager/Care Coordinator
76 SUMMER ST
FITCHBURG, MA 01420
Worcester County (978) 343-2433
C & JHOME CARE SERVICES, INC.
Home Health
76 SUMMER ST, SUITE 300
FITCHBURG, MA 01420
Worcester County (978) 343-4443
FITCHBURG ADULT MEDICINE LLC
Clinic/Center (Health Service)
76 SUMMER ST, SUITE 230
FITCHBURG, MA 01420
Worcester County (978) 342-6018
COMPREHENSIVE OUTPATIENT SERVICES, INC
Community/Behavioral Health
76 SUMMER ST
FITCHBURG, MA 01420
Worcester County (978) 345-6729
MARILYN A RAY LICSW
Counselor (Addiction (Substance Use Disorder))
76 SUMMER ST
FITCHBURG, MA 01420
Worcester County (978) 343-2433
DR. RINA Z FOLMAN PH.D.
Psychologist (Clinical)
76 SUMMER ST, SUITE 35
FITCHBURG, MA 01420
Worcester County (978) 342-9871

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 Zbigniew Dombek's NPI number?

The NPI number for Zbigniew Dombek is 1316907249. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Zbigniew Dombek located?

Zbigniew Dombek practices at 76 Summer St Suite 050, Fitchburg, MA 01420. The listed phone number is (978) 353-0004.

What is Zbigniew Dombek's specialty?

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

Is Zbigniew Dombek enrolled in Medicare?

Yes. Zbigniew Dombek 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 Zbigniew Dombek accept?

Health plans from Anthem Blue Cross and Blue Shield list Zbigniew Dombek 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 Zbigniew Dombek affiliated with any hospitals?

According to CMS data, Zbigniew Dombek is affiliated with Umass Memorial Healthalliance Hospitals, Heywood Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Zbigniew Dombek was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.