JACLYN M DOMROES PA
NPI 1881034296
Physician Assistant in Orchard Park, NY

Q: What is Jaclyn Domroes's NPI number?

The NPI number for Jaclyn Domroes is 1881034296. It was assigned to this individual provider in the NPPES registry on June 29, 2013.

Q: What is Jaclyn Domroes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Domroes was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 29, 2013PECOS EnrolledAccepts Medicare Assignment

87.14/100

CMS Quality Rating

3900 N BUFFALO ST, ORCHARD PARK, NY 14127(716) 656-4456(716) 817-1785 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2021, May 21, 2021, May 10, 2021 (3 updates tracked since 2021).

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About Jaclyn M Domroes Pa NPPES

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

JACLYN M DOMROES PA (NPI 1881034296) is an individual physician assistant in Orchard Park, New York, licensed in New York (016580) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881034296

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACLYN M DOMROESCredential: PA

Location Address3900 N BUFFALO STOrchard Park, NY 14127-1842

Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726

Phone(716) 656-4456

Fax(716) 817-1785

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 29, 2013

Last NPPES UpdateDecember 10, 20213 updates tracked since enumeration

NPPES CertifiedDecember 10, 2021

✔ NPI 1881034296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 016580

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.

3900 N BUFFALO ST, Orchard Park, NY 14127

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Secondary Practice Location 1

Location 1565 Abbott RdBuffalo, NY 14220-2039 · Phone (716) 828-2434

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

Jaclyn M Domroes Pa 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 ID4688816747

PECOS Enrollment IDI20130827000014

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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

63 services14 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.

47 services43 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

39 services22 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.

29 services26 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

26 services26 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.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

87.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.29

Promoting Interoperability

100

Improvement Activities

Cost

74.86

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.

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