DOMINIC A FORMARO JR. D.O.
NPI 1740444058
Surgery in Newton, IA

Q: What is Dominic Formaro's NPI number?

The NPI number for Dominic Formaro is 1740444058. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Dominic Formaro's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Formaro was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 16, 2008PECOS EnrolledAccepts Medicare Assignment

300 N 4TH AVE E, STE D, NEWTON, IA 50208(641) 787-3161(641) 787-3165 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dominic A Formaro Jr. D.o. NPPES

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

DOMINIC A FORMARO JR. D.O. (NPI 1740444058) is an individual surgery provider in Newton, Iowa, licensed in Iowa (3843) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Hansen Family Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740444058

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDOMINIC A FORMARO JR.Credential: D.O.

Location Address300 N 4TH AVE E, STE DNewton, IA 50208-3155

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (641) 787-3161 · Fax (641) 787-3165

Phone(641) 787-3161

Fax(641) 787-3165

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 16, 2008

Last NPPES UpdateMarch 29, 2017

✔ NPI 1740444058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IA · 3843

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

300 N 4TH AVE E, Newton, IA 50208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominic A Formaro Jr. D.o. 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 ID446327621

PECOS Enrollment IDI20080930000668

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.

Medicare Billing Reassignments

Medicare enrollment records show Dominic Formaro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grinnell Regional Medical Center

16 mi

Family Medicine

303 EAST STREET
Lynnville, IA 50153

Reassigned Medicare billing, Iowa enrollment
177 clinicians in this Medicare group

NPI 1548336084 (641) 527-2929

Ellsworth Municipal Hospital

34 mi

Family

112 W MAIN ST
Zearing, IA 50278

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1831296052 (Iowa)
46 clinicians in this Medicare group

NPI 1003398835 (641) 487-7800

Iowa Physicians Clinic Medical Foundation

35 mi

General Practice

8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131

Reassigned Medicare billing, Iowa enrollment
1,506 clinicians in this Medicare group

NPI 1619309325 (515) 471-9300

Ottumwa Health Group LLC

43 mi

Rural Health

107 N 3RD ST
Eddyville, IA 52553

Reassigned Medicare billing, Iowa enrollment
86 clinicians in this Medicare group

NPI 1962023663 (641) 969-5212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Hansen Family Hospital

Critical Access Hospitals · Iowa Falls, IA

OwnershipGovernment - Local

CMS Certification Number161380

Location920 South Oak StreetIowa Falls, IA 50126 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50208 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

MR. LAURIE A. SIDDALL FNP

Family Medicine

300 N 4TH AVE E, SUITE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

DR. LEIGHTON E. FROST MD

Family Medicine

300 N 4TH AVE E, SUITE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

DUANE M JOLIVETTE MD

Family Medicine

300 N 4TH AVE E, STE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

IOWA INTERNISTS PC

Internal Medicine

300 N 4TH AVE E, SUITE 140B
NEWTON, IA 50208

Jasper County (641) 792-0377

DR. STEVEN C. HILL MD

Family Medicine

300 N 4TH AVE E, SUITE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

DR. TZE Y. CHAN DO

Internal Medicine

300 N 4TH AVE E, SUITE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

DR. PAUL E. RUGGLE MD

Family Medicine

300 N 4TH AVE E, SUITE 200
NEWTON, IA 50208

Jasper County (641) 792-2112

MID IOWA ORTHOPAEDICS, P.C.

Clinic/Center

300 N 4TH AVE E, SUITE 140B
NEWTON, IA 50208

Jasper County (641) 787-9276

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 Formaro's NPI number?

The NPI number for Dominic Formaro is 1740444058. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Dominic Formaro located?

Dominic Formaro practices at 300 N 4th Ave E Ste D, Newton, IA 50208. The listed phone number is (641) 787-3161.

What is Dominic Formaro's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dominic Formaro enrolled in Medicare?

Yes. Dominic Formaro 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.

Which organizations bill Medicare for Dominic Formaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Formaro reassigns Medicare benefits to 4 organizations: Grinnell Regional Medical Center (Lynnville, IA), Ellsworth Municipal Hospital (Zearing, IA), Iowa Physicians Clinic Medical Foundation (Johnston, IA) and Ottumwa Health Group LLC (Eddyville, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominic Formaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Formaro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Dominic Formaro 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 Formaro affiliated with any hospitals?

According to CMS data, Dominic Formaro is affiliated with Hansen Family Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Formaro was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.