Richard Todd Dombroski, DO - Medicare Sports Medicine in Fort Worth, TX

  1. Home
Richard Todd Dombroski, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Fort Worth, Texas. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1987 and has 37 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Wound Care Interventions and his current practice location is 6913 Camp Bowie Blvd Ste 107, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 367-9289.

Richard Todd Dombroski is licensed to practice in Texas (license number Q3358) 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 1144209552.

Contact Information

Richard Todd Dombroski, DO
6913 Camp Bowie Blvd Ste 107,
Fort Worth, TX 76116-7164
(817) 367-9289
Not Available

Map and Direction




Physician's Profile

Full NameRichard Todd Dombroski
GenderMale
SpecialitySports Medicine
Experience37 Years
Location6913 Camp Bowie Blvd Ste 107, Fort 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:
  • Richard Todd Dombroski attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1987
  NPI Data:
  • NPI Number: 1144209552
  • Provider Enumeration Date: 01/13/2006
  • Last Update Date: 08/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3476719071
  • Enrollment ID: I20150317001829

Medical Identifiers

Medical identifiers for Richard Todd Dombroski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144209552NPI-NPPES
8FA812OtherTXBCBS
P01609114OtherTXRAILROAD MEDICARE
344044804MedicaidTX
8FA814OtherTXBCBS
344044801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine Q3358 (Texas)Secondary
207QS0010XFamily Medicine - Sports Medicine Q3358 (Texas)Secondary
204D00000XNeuromusculoskeletal Medicine & Omm Q3358 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Muenster Memorial HospitalMuenster, TXHospital

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. Richard Todd Dombroski allows following entities to bill medicare on his behalf.
Entity NameFisher County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104808112
PECOS PAC ID: 2163311465
Enrollment ID: O20040315000096
Entity NameUniversity Of North Texas Health Science Center At Fort Worth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376645564
PECOS PAC ID: 6103717350
Enrollment ID: O20040324001382
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameDoc D Medical Consulting Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629650791
PECOS PAC ID: 4082023312
Enrollment ID: O20210517001789
Entity NameWound Care Interventions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831970557
PECOS PAC ID: 5698123230
Enrollment ID: O20231121001309

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. Richard Todd 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
Richard Todd Dombroski, DO
8332 Whippoorwill Dr,
Fort Worth, TX 76123-1994

Ph: (817) 412-0877		Richard Todd Dombroski, DO
6913 Camp Bowie Blvd Ste 107,
Fort Worth, TX 76116-7164

Ph: (817) 367-9289

Reviews and Comments



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.