Doctor profile · Federal record
Dr. Jacqueline Dombrowski, MD
Internal Medicine Physician (CMS: Internal Medicine) · Pediatrics Physician · Orchard Park, NY
- NPI 1205893591
- Accepts Medicare
- 25 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3560 North Buffalo
Orchard Park, NY 141271934
(716) 662-8510
fax (716) 662-8574 - Mailing address
-
3560 North Buffalo Road
Orchard Park, NY 141271934
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- December 28, 2016
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New York #219856
- Medicaid
- NY #02173233
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205893591. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
274
Distinct HCPCS
8
Medicare allowed
$21,331
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 90 | 48 | $118 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $124 | |
96372 |
Injection of drug or substance under skin or into muscle | 51 | 11 | $14 | |
96160 |
Administration and interpretation of patient-focused health risk assessment | 17 | 11 | $0 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $87 | |
G0008 |
Administration of influenza virus vaccine | 17 | 16 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 13 | 13 | $72 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 | 12 | $14 |
In context: peer comparison
Among 16 peers in this city , average services per provider: 355. This provider delivers 0.8× the peer median.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $21.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,739
Patients
754
Total drug cost
$49,716
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 424 | 112 | $8,505 |
| Levothyroxine Sodium | Generic | 411 | 111 | $8,663 |
| Amlodipine Besylate | Generic | 289 | 84 | $3,554 |
| Atorvastatin Calcium | Generic | 241 | 66 | $4,452 |
| Pantoprazole Sodium | Generic | 153 | 45 | $2,675 |
| Omeprazole | Generic | 147 | 43 | $2,265 |
| Sertraline Hcl | Generic | 136 | 32 | $1,648 |
| Lisinopril | Generic | 132 | 38 | $1,206 |
| Metoprolol Succinate | Generic | 130 | 37 | $3,397 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 129 | 34 | $3,028 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacqueline Dombrowski's medical specialty?
Dr. Jacqueline Dombrowski practices Internal Medicine Physician in Orchard Park, NY.
Where does Dr. Jacqueline Dombrowski practice?
Dr. Jacqueline Dombrowski practices at 3560 North Buffalo, Orchard Park, NY 141271934. Office phone: 7166628510.
What is Dr. Jacqueline Dombrowski's NPI?
Dr. Jacqueline Dombrowski's National Provider Identifier (NPI) is 1205893591, issued by NPPES.
Does Dr. Jacqueline Dombrowski accept Medicare assignment?
Yes. Dr. Jacqueline Dombrowski accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacqueline Dombrowski commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Injection of drug or substance under skin or into muscle (HCPCS 96372). Source: CMS Medicare Physician & Other Practitioners file.