ANDREW RICHARD DOMER PA-C NPI 1841231230

NPI Information

  • NPI: 1841231230
  • Provider Name: ANDREW RICHARD DOMER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3920 N UNION BLVD STE 330
    COLORADO SPRINGS, CO
    ZIP 80907
  • Phone: (719) 570-7272

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NPI Details

Andrew Richard Domer, PA-C is a surgical physician assistant in Colorado Springs, CO with 23 years of experience. Andrew Richard Domer, PA-C NPI is 1841231230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3920 N UNION BLVD STE 330
COLORADO SPRINGS, CO
ZIP 80907-916
Phone: (719) 570-7272
Fax: (719) 570-9030

The NPI 1841231230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (HCPCS:J7318)
  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 6/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical4155COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111561458OTHERCAQH NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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