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Active NPI 1639877475 Individual Practitioner Female Practitioner

Dominique Stay Tecklenburg , PA-C

Physician Assistant • Orem, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dominique Tecklenburg, PA-C is a certified Physician Assistant practicing in Orem, UT. With approximately 4 years of clinical experience since completing medical education in 2022, Dominique Tecklenburg delivers high-quality medical care to the local community at 435 S 660 W.

Dominique Tecklenburg is affiliated with Community Health Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

435 S 660 W

Orem, UT 840586078

Telephone 8016914980

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orem, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
58 Specialists

Practicing in Orem, UT (1904 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tecklenburg (4 Years) 4 Yrs
Orem Specialty Average (9.1 Years) 9.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
36 32 $211.83 $64.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes
28 25 $132.64 $41.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 26 $468.41 $141.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 14 $352.28 $109.02

Medical Specialties & State Licenses

CMS Verified: 2023-02-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Community Health Partners

2823 Fresno St, Fresno, CA 937211324

Phone: 5594596000

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Phone: 5593200530

Community Health Partners

2755 Herndon Ave, Clovis, CA 936116800

Phone: 5593244000

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2023

Registered at 435 S 660 W, OREM, UT 840586078 (Tel: 8016914980)

📍
Updated Business Mailing Address February 21, 2023

Registered at 435 S 660 W, OREM, UT 840586078

👤
Provider Name / Credentials Updated February 21, 2023

Recorded as DOMINIQUE TECKLENBURG, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 21, 2023

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: 1639877475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2023
Last Update: February 21, 2023
Sole Proprietor: Yes

Mailing Address

435 S 660 W

Orem, UT 840586078

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.