Active NPI 1083716922 Individual Practitioner Male Practitioner

Thomas Dotro , PHYSICIAN ASSISTANT

Physician Assistant • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Dotro, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Berkeley Heights, NJ. With approximately 23 years of clinical experience since completing medical education in 2003, Thomas Dotro delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Thomas Dotro is affiliated with Hunterdon Urgent Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082778940

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berkeley Heights, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +8.2 yrs vs City Avg

City Avg: 14.8 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

42 Specialists

Practicing in Berkeley Heights, NJ (3413 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dotro (23 Years) 23 Yrs

Berkeley Heights Specialty Average (14.8 Years) 14.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	131	127	$1033.25	$107.52
99285 Emergency department visit for life threatening or functioning severity	106	105	$1382.38	$155.81
99283 Emergency department visit with low level of medical decision making	51	49	$600.43	$63.19
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$682.00	$53.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$211.82	$119.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	87	86	$1383.78	$158.99
99284 Emergency department visit with moderate level of medical decision making	85	82	$1017.61	$109.51
99283 Emergency department visit with low level of medical decision making	18	18	$594.78	$65.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	34	$179.00	$62.97
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$188.00	$88.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$412.00	$161.65
99285 Emergency department visit for life threatening or functioning severity	18	18	$1684.78	$161.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$274.00	$116.46
99284 Emergency department visit with moderate level of medical decision making	12	12	$1135.33	$111.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$336.00	$125.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	124	121	$1317.00	$163.35
99284 Emergency department visit with moderate level of medical decision making	77	75	$985.00	$112.13
99283 Emergency department visit with low level of medical decision making	26	26	$572.00	$66.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	138	136	$1254.46	$158.67
99284 Emergency department visit with moderate level of medical decision making	75	72	$938.63	$108.99
99283 Emergency department visit with low level of medical decision making	32	31	$545.00	$59.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	177	170	$1217.00	$155.68
99284 Emergency department visit with moderate level of medical decision making	105	104	$911.00	$104.85
99283 Emergency department visit with low level of medical decision making	44	42	$529.00	$55.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	230	223	$1170.41	$171.02
99284 Emergency department visit with moderate level of medical decision making	137	133	$876.77	$116.15
99283 Emergency department visit with low level of medical decision making	81	78	$509.74	$61.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	120	117	$1137.13	$155.99
99284 Emergency department visit with moderate level of medical decision making	90	89	$851.16	$105.93
99283 Emergency department visit with low level of medical decision making	76	70	$494.20	$55.91

Medical Specialties & State Licenses

CMS Verified: 2022-02-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP0011200

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Hunterdon Urgent Care Pc

2100 Wescott Drive Mso 5th Fl, Flemington, NJ 088224603

Hunterdon Urgent Care Pc

2100 Wescott Dr, Flemington, NJ 088224603

Phone: 9082374036

Secondary Practice Locations

2100 Wescott Dr

Flemington, NJ 088224603

Phone: 9087886183

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Taeyang Park , MD

Internal Medicine - Gastroenterology

NPI 1659865301

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 01, 2022

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778940)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2022

Physician Assistant (License #25MP0011200 in NJ)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2100 WESCOTT DR, FLEMINGTON, NJ 088224603 (Tel: 9087886183)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2100 WESCOTT DR, FLEMINGTON, NJ 088224603 (Tel: 9087886183)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DOTRO, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083716922

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 01, 2006

Last Update: February 01, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2100 Wescott Dr

Flemington, NJ 088224603

Phone: 9087886183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.