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DOMINIC XAVIER ROMERO PA-C
NPI 1356060693
Physician Assistant in Pocatello, ID

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
318 S 6TH AVE, POCATELLO, ID 83201(575) 993-2495 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominic Xavier Romero Pa-c NPPES

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

DOMINIC XAVIER ROMERO PA-C (NPI 1356060693) is an individual physician assistant in Pocatello, Idaho and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356060693
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIC XAVIER ROMEROCredential: PA-C
Location Address318 S 6TH AVEPocatello, ID 83201-5809
Mailing Address318 S 6th AvePocatello, ID 83201-5809 · (575) 993-2495
Phone(575) 993-2495
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2022
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 17, 2024
✔ NPI 1356060693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
318 S 6TH AVE, Pocatello, ID 83201
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Other Identifiers 1

Medicaid0002673011ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 Xavier Romero Pa-c 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 ID8820521784
PECOS Enrollment IDI20241030002493
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.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 Romero's NPI number?

The NPI number for Dominic Romero is 1356060693. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Dominic Romero located?

Dominic Romero practices at 318 S 6th Ave, Pocatello, ID 83201. The listed phone number is (575) 993-2495.

What is Dominic Romero's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dominic Romero enrolled in Medicare?

Yes. Dominic Romero 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 Romero accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dominic Romero 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 Romero affiliated with any hospitals?

According to CMS data, Dominic Romero is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Dominic Romero was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.