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DOMINIC MUSOROFITI PA-C
NPI 1699416115
Physician Assistant in Round Rock, TX

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
2200 E PALM VALLEY BLVD STE 118, ROUND ROCK, TX 78665(512) 318-2174(512) 782-9316 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Apr 6, 2022 (2 updates tracked since 2022).

About Dominic Musorofiti Pa-c NPPES

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

DOMINIC MUSOROFITI PA-C (NPI 1699416115) is an individual physician assistant in Round Rock, Texas, licensed in Texas (PA20128) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699416115
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIC MUSOROFITICredential: PA-C
Location Address2200 E PALM VALLEY BLVD STE 118Round Rock, TX 78665-4534
Mailing Address2200 E Palm Valley Blvd Ste 118Round Rock, TX 78665-4534 · (512) 318-2174 · Fax (512) 782-9316
Phone(512) 318-2174
Fax(512) 782-9316
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1699416115 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 TX · PA20128
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.
2200 E PALM VALLEY BLVD STE 118, Round Rock, TX 78665
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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 Musorofiti 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 ID1951770221
PECOS Enrollment IDI20260421004237
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
114 services111 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services31 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

SHELBY ALYSON CLARDY PA-C
Physician Assistant
2200 E PALM VALLEY BLVD STE 118
ROUND ROCK, TX 78665
Williamson County (512) 318-2174

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 Musorofiti's NPI number?

The NPI number for Dominic Musorofiti is 1699416115. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Dominic Musorofiti located?

Dominic Musorofiti practices at 2200 E Palm Valley Blvd Ste 118, Round Rock, TX 78665. The listed phone number is (512) 318-2174.

What is Dominic Musorofiti's specialty?

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

Is Dominic Musorofiti enrolled in Medicare?

Yes. Dominic Musorofiti 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.

Is Dominic Musorofiti affiliated with any hospitals?

According to CMS data, Dominic Musorofiti is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Musorofiti was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.