MICHAEL J DOMBROWSKI PA
NPI 1477239804
Physician Assistant in Weston, WI

Q: What is Michael Dombrowski's NPI number?

The NPI number for Michael Dombrowski is 1477239804. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Michael Dombrowski's specialty?

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

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment

3400 MINISTRY PKWY, WESTON, WI 54476(715) 393-1000(715) 393-1000 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Sep 5, 2025, Jun 22, 2023 (3 updates tracked since 2023).

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About Michael J Dombrowski Pa NPPES

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

MICHAEL J DOMBROWSKI PA (NPI 1477239804) is an individual physician assistant in Weston, Wisconsin, licensed in Wisconsin (8423) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477239804

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL J DOMBROWSKICredential: PA

Location Address3400 MINISTRY PKWYWeston, WI 54476-5220

Mailing Address3400 Ministry PkwyWeston, WI 54476-5220 · (715) 393-1000

Phone(715) 393-1000

Fax(715) 393-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 22, 2023

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1477239804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 8423

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.

3400 MINISTRY PKWY, Weston, WI 54476

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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

Michael J Dombrowski Pa 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 ID9335641562

PECOS Enrollment IDI20250908000327

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 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520202

Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

DR. KSHAMATA SHALINI MD

Internal Medicine