BRUCE L DOMM MD
NPI 1730106329
Family Medicine in Casselton, ND

Q: What is Bruce Domm's NPI number?

The NPI number for Bruce Domm is 1730106329. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Bruce Domm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce Domm was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

5 9TH AVE N, CASSELTON, ND 58012(701) 347-4445(701) 347-5276 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bruce L Domm Md NPPES

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

BRUCE L DOMM MD (NPI 1730106329) is an individual family medicine provider in Casselton, North Dakota, licensed in North Dakota (5341) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of North Dakota School Of Medicine (1985).

NPPES Registry Identity

NPI1730106329

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRUCE L DOMMCredential: MD

Location Address5 9TH AVE NCasselton, ND 58012-3339

Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300 · Fax (701) 364-8906

Phone(701) 347-4445

Fax(701) 347-5276

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1985

Enumeration DateJuly 17, 2006

Last NPPES UpdateOctober 17, 2011

✔ NPI 1730106329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · 5341

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.

5 9TH AVE N, Casselton, ND 58012

Open in Google Maps ↗

Other Identifiers 20

Other336ND · Ndbs #

OtherHP19507ND · Healthpartners #

Other676560ND · America's Ppo/araz #

Medicare UPIND25839ND

Medicare ID-Type Unspecified080039827ND · Rr Medicare #

Other00A28DOND · Mnbs #

Medicaid112583400ND

Other0106110ND · Medica #

Other37983ND · Sioux Valley #

Medicare ID-Type Unspecified14496ND · Nd Medicare #

Medicaid15375ND

Medicare ID-Type Unspecified336ND · Nd Medicare #

Medicare ID-Type Unspecified089004371MN · Mn Medicare #

OtherND100038MN · Lhs #

Other0108127ND · Medica #

Other0106108ND · Medica #

Other93416DOND · Mnbs 3

Other93416DOND · Mnbs #

OtherDA9011015505ND · Preferred One #

Other142308ND · Ucare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Bruce L Domm Md 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 ID5698864270

PECOS Enrollment IDI20071204000854

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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

403 services197 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

167 services167 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

111 services60 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

101 services50 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

63 services36 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

53 services47 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

52 services52 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

42 services42 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

32 services32 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

26 services15 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

21 services21 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58012 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers42 claims100 services$5.12 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers13 claims13 services$36.17 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers13 claims13 services$19.00 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims66 services$1.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers14 claims14 services$41.08 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

3 suppliers19 claims19 services$86.98 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 7

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

DAKOTA CLINIC, LTD.

Family Medicine