TINA DOMBROSKI (PAC) – Physician Assistant, NPI 1578555207
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PHYSICIAN ASSISTANT in DE
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Provider Addresses for TINA DOMBROSKI (PAC)
PO BOX 472
LEWES, DE 199580472
Phone: (302) 645-6698
Fax: (302) 645-4505
Type: Mailing
1309, Savannah Road, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States
SUITE B
LEWES, DE 199581514
Phone: (302) 645-6698
Fax: (302) 645-4505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-03-20 • Largest payer in this snapshot: Medtronic, Inc. ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100603000697 | I | Physician Assistant | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 460 | 446 | $0 |
| 81003 | Automated urinalysis test | 66 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 19958)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | DE | 81002 | Urinalysis, manual test | 32 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| - | PA | |
| Internal Medicine | DE | |
| - | DE | |
| - | DE | |
| Internal Medicine | DE | |
| Internal Medicine | DE | |
| Infectious Disease, Internal Medicine | DE | |
| Family Practice | NY | |
| Nurse Practitioner | VA |
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