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

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: July 26, 2026.

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 Ottumwa Regional Health Center, 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 Medica.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

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.

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 2

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

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number160089
Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County
Emergency services Birthing friendly

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.

What insurance does Dominic Formaro accept?

Health plans from Medica 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 Ottumwa Regional Health Center and 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 with the weekly NPPES data releases published by CMS.