JEFFREY PAUL DOMBROSKI MD
NPI 1235396961
Specialist in Alpena, MI
NPI Status: Active since May 20, 2008
Contact Information
401 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707
Phone: (989) 356-9333
- Individual
- Male
- Years of Experience 23
- Specialist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JEFFREY DOMBROSKI
This page provides the complete NPI Profile along with additional information for Jeffrey Dombroski, a provider established in Alpena, Michigan with a medical specialization in Specialist and more than 23 years of experience. He graduated from Wayne State University School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1235396961 assigned on May 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1235396961
- Provider Name
- JEFFREY PAUL DOMBROSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 401 LONG RAPIDS PLZ ALPENA, MI 49707
- Location Phone
- (989) 356-9333
- Mailing Address
- 401 LONG RAPIDS PLZ ALPENA, MI 49707
- Mailing Phone
- (989) 356-9333
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-20-2008
- Last Update Date
- 02-08-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1235396961 | OTHER (01) | MI | 3860000029 |
Medicare Participation & PECOS Enrollment Status
Jeffrey Dombroski is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jeffrey Dombroski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7315000551
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090918000353
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
1 DME suppliers used 15 Medicare Claims 15 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF011N)
Knee orthosis, elastic with joints, prefabricated, off-the-shelf (HCPCS:L1812)
1 DME suppliers used 37 Medicare Claims 37 Services Paid
DME-Orthotic Devices (DF011N)
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf (HCPCS:L1833)
1 DME suppliers used 24 Medicare Claims 24 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from medium joint
Aspiration and/or injection of fluid from small joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fluoroscopic guidance for needle placement
Hip replacement
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
Initial hospital inpatient care per day, typically 70 minutes
Injection into tendon or ligament
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Insertion of drug delivery implant into tissue
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Release and/or relocation of hand nerve
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
X-ray of ankle, minimum of 3 views
X-ray of foot, minimum of 3 views
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
X-ray of shoulder, minimum of 2 views
X-ray of wrist, minimum of 3 views
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.
This service was performed 16 times for 14 patientsThis 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.
This service was performed 434 times for 238 patientsThis procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
This service was performed 26 times for 22 patientsThis procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
This service was performed 16 times for 12 patientsThis 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.
This service was performed 212 times for 181 patientsThis 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.
This service was performed 238 times for 214 patientsFluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
This service was performed 14 times for 12 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 19 patientsHyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
This service was performed 75 times for 16 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 25 times for 24 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 31 times for 16 patientsTriamcinolone 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.
This service was performed 3,090 times for 231 patientsTriamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
This service was performed 4,672 times for 62 patientsA drug delivery implant is a small device inserted into your tissue. It releases medication over time, helping to manage certain health conditions. The procedure is done under local anesthesia, causing minimal discomfort.
This service was performed 32 times for 32 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 71 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 1-10 patientsThis 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.
This service was performed 19 times for 19 patientsThis 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.
This service was performed 121 times for 121 patientsThis procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
This service was performed 18 times for 13 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 41 times for 39 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 21 times for 21 patientsThis procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
This service was performed 11 times for 11 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 37 times for 26 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 77 times for 51 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 18 times for 11 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 106 times for 66 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 19 times for 17 patientsAn 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.
This service was performed 78 times for 67 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 132 times for 127 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 39 times for 28 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 35 times for 21 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Dombroski is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MYMICHIGAN MEDICAL CENTER ALPENA | 1501 W CHISHOLM ST ALPENA, MI 49707 | (989) 356-7390 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 9 | 6 | 9 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 9 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 9 + 1 + 2 + 9 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1235396961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093724999 | STEVEN E VORENKAMP MD Individual | Orthopaedic Surgery | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1639170517 | ERIC ROBERT CORNISH M.D. Individual | Orthopaedic Surgery | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1881992881 | DR. KIEL THOMAS BELTINCK D.O. Individual | Orthopaedic Surgery | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1992048284 | KRISTALYN J MAUCH MD Individual | Orthopaedic Surgery | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1629146691 | MYMICHIGAN MEDICAL CENTER ALPENA Organization | Orthopaedic Surgery | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1801982814 | MYMICHIGAN MEDICAL CENTER ALPENA Organization | Durable Medical Equipment & Medical Supplies | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-7390 |
| 1366702193 | MR. MICHAEL GUNNAR JOHNSON Individual | Physician Assistant | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
| 1801432687 | CINDY GRAVES NP Individual | Nurse Practitioner | 401 LONG RAPIDS PLZ ALPENA, MI 49707 (989) 356-9333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235396961, enumerated in the NPI registry as an "individual" on May 20, 2008
The provider is located at 401 Long Rapids Plz Alpena, Mi 49707 and the phone number is (989) 356-9333
The provider's speciality is Specialist with taxonomy code 174400000X
The provider has more than 23 years of experience. He graduated from Wayne State University School Of Medicine in 2003.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid from medium joint, Aspiration and/or injection of fluid from small joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fluoroscopic guidance for needle placement, Hip replacement, Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, Initial hospital inpatient care per day, typically 70 minutes, Injection into tendon or ligament, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, Insertion of drug delivery implant into tissue, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Release and/or relocation of hand nerve, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement, X-ray of ankle, minimum of 3 views, X-ray of foot, minimum of 3 views, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views, X-ray of shoulder, minimum of 2 views and X-ray of wrist, minimum of 3 views.
The practitioner is affiliated to the following hospital(s): MYMICHIGAN MEDICAL CENTER ALPENA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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