ANDREW RICHARD DOMER PA-C
NPI 1841231230
Physician Assistant - Surgical in Colorado Springs, CO

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
3920 N UNION BLVD STE 330, COLORADO SPRINGS, CO 80907(719) 570-7272(719) 570-9030 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Richard Domer Pa-c NPPES

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

ANDREW RICHARD DOMER PA-C (NPI 1841231230) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (4155) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1841231230
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW RICHARD DOMERCredential: PA-C
Location Address3920 N UNION BLVD STE 330Colorado Springs, CO 80907-4916
Mailing Address8101 E Lowry Blvd, Ste 120Denver, CO 80230-7195 · (303) 806-1998
Fax(719) 570-9030
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 11, 2021
NPPES CertifiedJune 11, 2021
NPI 1841231230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · 4155
3920 N UNION BLVD STE 330, Colorado Springs, CO 80907

Other Identifiers 1

Other11561458Caqh Number

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

Andrew Richard Domer 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 ID4587725627
PECOS Enrollment IDI20150706001907
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 14

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
3,420 services29 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
820 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
144 services85 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
140 services73 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.
116 services83 patients
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.
81 services63 patients

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 Andrew Domer's NPI number?

The NPI number for Andrew Domer is 1841231230. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Andrew Domer located?

Andrew Domer practices at 3920 N Union Blvd Ste 330, Colorado Springs, CO 80907. The listed phone number is (719) 570-7272.

What is Andrew Domer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Domer enrolled in Medicare?

Yes. Andrew Domer 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 Andrew Domer was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.