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MRS. TRACIE TUE DOMINGUEZ PA-C
NPI 1790011757
Physician Assistant in Fort Carson, CO

Active since October 27, 2009PECOS EnrolledAccepts Medicare Assignment
1650 COCHRANE CIR, FORT CARSON, CO 80913(719) 244-2286 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tracie Tue Dominguez Pa-c NPPES

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

MRS. TRACIE TUE DOMINGUEZ PA-C (NPI 1790011757) is an individual physician assistant in Fort Carson, Colorado and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790011757
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TRACIE TUE DOMINGUEZCredential: PA-C
Location Address1650 COCHRANE CIRFort Carson, CO 80913-4603
Mailing Address5130 Barnstormers AveColorado Springs, CO 80911-1214 · (808) 352-7258
Phone(719) 244-2286
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 27, 2009
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1790011757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1650 COCHRANE CIR, Fort Carson, CO 80913
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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

Mrs. Tracie Tue Dominguez 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 ID4880971373
PECOS Enrollment IDI20170511000026
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80913 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
93%30 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%28 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%288 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%629 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%911 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%485 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%820 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 83 patients
83%63 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
38%21 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%820 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
0%820 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SARAH GOSS MD
Emergency Medicine
1650 COCHRANE CIR
FORT CARRSON, CO 80913
El Paso County (719) 526-5231
MATTHEW NILAN D.O.
Emergency Medicine
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 728-0869
MRS. HEATHER ANN NEWMAN CRNA
Nurse Anesthetist, Certified Registered
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-7943
DR. DEANNA E. DURAN DPM
Podiatrist (Foot & Ankle Surgery)
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (443) 610-0436
JEREMY KENNETH BETTERS PA
Physician Assistant
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-9934
BRENNA ANN SPELLISSY OTR
Occupational Therapist
1650 COCHRANE CIR
COLORADO SPRINGS, CO 80913
El Paso County (719) 526-7000
JOYCE MAE FRANCHS
Registered Nurse
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-7649
BRENT V. NELSON D.O.
Family Medicine (Adolescent Medicine)
1650 COCHRANE CIR, ADOLESCENT MEDICINE USA MEDDAC, EACH,
FORT CARSON, CO 80913
El Paso County (719) 526-7226

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 Tracie Dominguez's NPI number?

The NPI number for Tracie Dominguez is 1790011757. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Tracie Dominguez located?

Tracie Dominguez practices at 1650 Cochrane Cir, Fort Carson, CO 80913. The listed phone number is (719) 244-2286.

What is Tracie Dominguez's specialty?

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

Is Tracie Dominguez enrolled in Medicare?

Yes. Tracie Dominguez 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.

When was this NPI record last updated?

The NPPES record for Tracie Dominguez was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.