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MR. DANE J DOORNBOS PA-C
NPI 1750541579
Physician Assistant in Hazle Township, PA

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
1525 N CHURCH ST, HAZLE TOWNSHIP, PA 18202(570) 751-5900(570) 751-5901 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Mar 14, 2025, Sep 1, 2022 and 1 more (4 updates tracked since 2020).

About Mr. Dane J Doornbos Pa-c NPPES

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

MR. DANE J DOORNBOS PA-C (NPI 1750541579) is an individual physician assistant in Hazle Township, Pennsylvania, licensed in Pennsylvania (MA056068) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1750541579
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DANE J DOORNBOSCredential: PA-C
Location Address1525 N CHURCH STHazle Township, PA 18202-9383
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 751-5900 · Fax (570) 751-5901
Phone(570) 751-5900
Fax(570) 751-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 16, 2008
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1750541579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA056068✔ Licensed in PA · OA003020✔ Licensed in PA · MD1844530
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.
1525 N CHURCH ST, Hazle Township, PA 18202
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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

Mr. Dane J Doornbos 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 ID7214003771
PECOS Enrollment IDI20130614000028
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services96 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.
95 services76 patients
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.
52 services52 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
48 services42 patients
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.
34 services31 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18202 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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.

DR. ANTHONY P VEGLIA MD
Internal Medicine
1525 N CHURCH ST
HAZLETON, PA 18202
Luzerne County (570) 454-5554
ETHAN LEE PA-C
Physician Assistant
1525 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (570) 751-5900

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 Dane Doornbos's NPI number?

The NPI number for Dane Doornbos is 1750541579. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Dane Doornbos located?

Dane Doornbos practices at 1525 N Church St, Hazle Township, PA 18202. The listed phone number is (570) 751-5900.

What is Dane Doornbos's specialty?

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

Is Dane Doornbos enrolled in Medicare?

Yes. Dane Doornbos 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 Dane Doornbos affiliated with any hospitals?

According to CMS data, Dane Doornbos is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Dane Doornbos was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.