DANIEL SCOTT DOMROSE (DPM) – Podiatrist, NPI 1417001041

DANIEL SCOTT DOMROSE (DPM) is a healthcare provider. based in Corvallis, Oregon. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. DP00264 (OR). The NPI Number for DANIEL SCOTT DOMROSE (DPM) is 1417001041

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL SCOTT DOMROSE (DPM)
NPI
1417001041
Phone
(541) 754-9665
Address
2440 NW PROFESSIONAL DR
Enumeration Date
22 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5417549665
Graduation Year
1992 (34 years ago)
PAC ID
8628237930
Professional Enrollment ID
I20120306000651
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DANIEL SCOTT DOMROSE (DPM)

  • Professional Drive, Corvallis, Benton County, Oregon, 97330, United States

    TIMBER HILL FOOT CLINIC DANIEL S DOMROSE DPM

    CORVALLIS, OR 97330

    Phone: (541) 754-9665

    Fax: (541) 758-5706

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-03-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120306000651IPodiatryORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes507186$0
99203New patient office or other outpatient visit, 30-44 minutes119119$0
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Insurance plans in this area (ZIP 97330)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL SCOTT DOMROSE (DPM)?
DANIEL SCOTT DOMROSE (DPM) — NPI 1417001041 — is the standard way to identify this listing.
Does the file indicate DANIEL SCOTT DOMROSE (DPM) is practicing under active NPI?
Directory data currently reports DANIEL SCOTT DOMROSE (DPM) as active.
What taxonomy line describes DANIEL SCOTT DOMROSE (DPM)?
For research purposes, treat DANIEL SCOTT DOMROSE (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DANIEL SCOTT DOMROSE (DPM) based?
DANIEL SCOTT DOMROSE (DPM) is tied to Corvallis, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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