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TERESA V DOMBEK-LANG M.D.
NPI 1699771295
Family Medicine in Gouverneur, NY

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
77 W. BARNEY ST., GOUVERNEUR, NY 13642(315) 287-4440(315) 287-1858 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2023, Jun 10, 2022 (2 updates tracked since 2022).

About Teresa V Dombek-lang M.d. NPPES

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

TERESA V DOMBEK-LANG M.D. (NPI 1699771295) is an individual family medicine provider in Gouverneur, New York, licensed in New York (243016) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1699771295
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTERESA V DOMBEK-LANGCredential: M.D.
Location Address77 W. BARNEY ST.Gouverneur, NY 13642
Mailing Address4 Commerce LnCanton, NY 13617-3739 · (315) 386-8191 · Fax (315) 386-1410
Phone(315) 287-4440
Fax(315) 287-1858
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 28, 2005
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1699771295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 243016✔ Licensed in ME · EL221009✔ Licensed in ME · MD25662
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.

77 W. BARNEY ST., Gouverneur, NY 13642
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Other Names 1

Former Name (1)Teresa V Dombeklang

Other Identifiers 2

Medicaid01995615NY
Medicaid02392854NY

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

Teresa V Dombek-lang 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 ID5496729790
PECOS Enrollment IDI20240311003521
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$19.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$108.63 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 2

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

MRS. RACHEL I RAVEN FNP-C
Nurse Practitioner (Family)
77 W. BARNEY ST.
GOUVERNEUR, NY 13642
St. Lawrence County (315) 261-5871
GEORGE M DODDS I M.D.
Internal Medicine
77 W. BARNEY ST.
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-4440

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 Teresa Dombek-lang's NPI number?

The NPI number for Teresa Dombek-lang is 1699771295. It was assigned to this individual provider in the NPPES registry on June 28, 2005. The provider is also known as Teresa V Dombeklang.

Where is Teresa Dombek-lang located?

Teresa Dombek-lang practices at 77 W. Barney St., Gouverneur, NY 13642. The listed phone number is (315) 287-4440.

What is Teresa Dombek-lang's specialty?

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

Is Teresa Dombek-lang enrolled in Medicare?

Yes. Teresa Dombek-lang 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 Teresa Dombek-lang affiliated with any hospitals?

According to CMS data, Teresa Dombek-lang is affiliated with Mary Hitchcock Memorial Hospital and Valley Regional Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Dombek-lang was last updated on May 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.