Derek George Dombroski, MD - Medicare Orthopedic Surgery in Ft Worth, TX

Derek George Dombroski, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ft Worth, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 2005 and has 19 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Texas Health Physicians Group and his current practice location is 800 5th Ave, Suite 500, Ft Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 878-5300.

Derek George Dombroski is licensed to practice in Texas (license number N9364) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992865869.

Contact Information

Derek George Dombroski, MD
800 5th Ave, Suite 500,
Ft Worth, TX 76104
(817) 878-5300
(817) 878-5321

Map and Direction




Physician's Profile

Full NameDerek George Dombroski
GenderMale
SpecialityOrthopedic Surgery
Experience19 Years
Location800 5th Ave, Ft Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek George Dombroski attended and graduated from University Of Texas Medical School At San Antonio in 2005
  NPI Data:
  • NPI Number: 1992865869
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466614326
  • Enrollment ID: I20120510000423

Medical Identifiers

Medical identifiers for Derek George Dombroski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992865869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MT186006 (Pennsylvania)Secondary
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma 19786 (Hawaii)Secondary
207X00000XOrthopaedic Surgery N9364 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Texas Health Harris Methodist Hospital Fort WorthFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Health Physicians Group43855359541203

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek George Dombroski allows following entities to bill medicare on his behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek George Dombroski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derek George Dombroski, MD
3382 Waialae Ave,
Honolulu, HI 96816-2637

Ph: (808) 548-7033
Derek George Dombroski, MD
800 5th Ave, Suite 500,
Ft Worth, TX 76104

Ph: (817) 878-5300

Reviews and Comments


Orthopaedic Surgery Doctors in Ft Worth, TX

Brian Robert Braaksma, MD
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Medicare: Accepting Medicare Assignments
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Phone: 817-898-6688    Fax: 817-562-8313
Dr. Adewale Oluwaseun Adeniran, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1650 W Rosedale St Ste 301, Ft Worth, TX 76104
Phone: 682-610-5670    Fax: 817-348-0087
Iyooh Uchechuwu Davidson, M.D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1650 W Rosedale St Ste 301, Ft Worth, TX 76104
Phone: 682-610-5670    Fax: 817-348-0087
Jonathan Guevara, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5612 Edwards Ranch Rd, Ft Worth, TX 76109
Phone: 817-420-9238    Fax: 817-570-0182

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.