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DR. DOMINIC ANDREW MASSARY III M.D.
NPI 1336553361
Plastic Surgery in Rogers, AR

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
4803 W HIGHLAND KNOLLS RD STE 300, ROGERS, AR 72758(479) 265-4746 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Oct 10, 2023 (2 updates tracked since 2023).

About Dr. Dominic Andrew Massary Iii M.d. NPPES

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

DR. DOMINIC ANDREW MASSARY III M.D. (NPI 1336553361) is an individual plastic surgery provider in Rogers, Arkansas, licensed in Arkansas (E-19002) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1336553361
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DOMINIC ANDREW MASSARY IIICredential: M.D.
Location Address4803 W HIGHLAND KNOLLS RD STE 300Rogers, AR 72758-6447
Mailing Address1 Medical Center BlvdWinston Salem, NC 27157-0001
Phone(479) 265-4746
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2025
Enumeration DateJune 18, 2014
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1336553361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in AR · E-19002
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License LL37201 (SC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RTL19-0635 (NC)
4803 W HIGHLAND KNOLLS RD STE 300, Rogers, AR 72758
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Secondary Practice Locations 2

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-2300
Location 21 Medical Center BlvdWinston Salem, NC 27157-8908 · Phone (336) 716-2066

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. Dominic Andrew Massary Iii 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 ID4082835590
PECOS Enrollment IDI20250916002842
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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 Massary's NPI number?

The NPI number for Dominic Massary is 1336553361. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Dominic Massary located?

Dominic Massary practices at 4803 W Highland Knolls Rd Ste 300, Rogers, AR 72758. The listed phone number is (479) 265-4746.

What is Dominic Massary's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Dominic Massary enrolled in Medicare?

Yes. Dominic Massary 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 Massary was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.