DR. AGNIESZKA DOMBROWSKA (D.O.) – Surgery Physician, NPI 1164860466
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,619 GENERAL SURGERY in NY
Provider Addresses for DR. AGNIESZKA DOMBROWSKA (D.O.)
4685 S CONGRESS AVE STE 201
PALM SPRINGS, FL 334614761
Phone: (561) 548-8600
Fax: (561) 548-8650
Type: Mailing
1575 WASHINGTON ST
WATERTOWN, NY 136019371
Phone: (315) 788-2805
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $906.
Total Amount is formed as General ($906) + Research ($0) + Ownership ($0) = $906.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($458).
Total Amount
$906
General + Research + Ownership
Payments
9
Total payment records
General Amount
$906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEICA MICROSYSTEMS INC. | $458 |
| TELA Bio, Inc. | $134 |
| Abbott Laboratories | $104 |
| Merck Sharp & Dohme LLC | $94 |
| Hologic Sales and Service, LLC | $54 |
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: 2023-11-21
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 |
|---|---|---|---|---|
| I20231121001056 | I | General Surgery | FL | 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 | 17 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IA | |
| - | FL | |
| Vascular Surgery | FL | |
| Nurse Practitioner | FL | |
| Colorectal Surgery (Proctology), General Surgery | FL | |
| Surgical Oncology | FL | |
| Plastic And Reconstructive Surgery, General Surgery | GA | |
| General Surgery | FL | |
| General Surgery | FL | |
| Nurse Practitioner | GA |
Reviews
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