JON E DORNACKER MD
NPI 1801804588
Family Medicine in Garrison, ND

Q: What is Jon Dornacker's NPI number?

The NPI number for Jon Dornacker is 1801804588. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Jon Dornacker'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 Jon Dornacker was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 04, 2006PECOS EnrolledAccepts Medicare Assignment

437 3RD AVE SE, GARRISON, ND 58540(701) 463-2245(701) 463-6543 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jon E Dornacker Md NPPES

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

JON E DORNACKER MD (NPI 1801804588) is an individual family medicine provider in Garrison, North Dakota, licensed in North Dakota (9819) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of North Dakota School Of Medicine (2002).

NPPES Registry Identity

NPI1801804588

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJON E DORNACKERCredential: MD

Location Address437 3RD AVE SEGarrison, ND 58540-0009

Mailing Address437 3rd Ave Se, Po Box 09Garrison, ND 58540-7235 · (701) 337-6714 · Fax (701) 463-6543

Phone(701) 463-2245

Fax(701) 463-6543

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2002

Enumeration DateAugust 4, 2006

Last NPPES UpdateOctober 11, 2007

✔ NPI 1801804588 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 · 9819

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.

437 3RD AVE SE, Garrison, ND 58540

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Other Identifiers 4

Medicaid13921ND

Medicare UPINI23734ND

Other27263ND · Blue Cross/ Blue Shield

Medicare OSCAR/certification712120ND

Accepted Insurance

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

Jon E Dornacker 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 ID2466400312

PECOS Enrollment IDI20050106000874

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 Jon Dornacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garrison Memorial Hospital

Same address

Critical Access

407 3RD AVE SE
Garrison, ND 58540

Reassigned Medicare billing, North Dakota enrollment
Also billed through NPI 1952381873 (North Dakota)
12 clinicians in this Medicare group

NPI 1982674560 (701) 463-2275

St. Alexius Medical Center

26 mi

Critical Access

220 5TH AVE W
Turtle Lake, ND 58575

Reassigned Medicare billing, North Dakota enrollment
7 clinicians in this Medicare group

NPI 1013961820 (701) 448-2331

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

Hospital Affiliations CMS Care Compare 4

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number350002

Location900 E BroadwayBismarck, ND 58501 · Burleigh County

Emergency services Birthing friendly

Trinity Hospitals

Acute Care Hospitals · Minot, ND

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350006

Location407 3rd St SEMinot, ND 58701 · Ward County

Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Garrison Memorial Hospital

Critical Access Hospitals · Garrison, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351303

Location407 3rd Ave SEGarrison, ND 58540 · Mclean County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58540 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 20

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

6 suppliers70 claims146 services$5.14 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers20 claims20 services$0.85 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier31 claims31 services$21.86 avg. paid by Medicare

Insertion tray with drainage bag but without catheter A4354

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims11 services$8.79 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier40 claims40 services$8.66 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.76 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers11 claims147 services$8.11 avg. paid by Medicare

Hydrogel dressing, wound filler, gel, per fluid ounce A6248

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims45 services$15.69 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers11 claims11 services$108.73 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers13 claims16 services$44.75 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers11 claims11 services$25.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers18 claims44 services$3.08 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers61 claims61 services$7.32 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$38.62 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

4 suppliers35 claims35 services$103.73 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$36.42 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers16 claims4,353 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier17 claims1,920 services$0.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers22 claims22 services$166.32 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers23 claims23 services$24.80 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 8

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

ARTHUR J RENNER PA-C

Physician Assistant