Thomas Dotro, PHYSICIAN ASSISTANT
NPI 1083716922 · Physician Assistant · Berkeley Heights, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Dotro, PHYSICIAN ASSISTANT is a Physician Assistant provider in Berkeley Heights, NJ (NPI 1083716922).
Provider details
- NPI number
- 1083716922
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 25MP0011200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
312 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 131 | $108 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 106 | $156 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 51 | $63 |
| Simple Repair of Surface Wound of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12002 | 13 | $53 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 11 | $119 |
Typical Medicare-allowed amounts for these services range $53–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 40 | 40 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 27 |
| Oxycodone Hcl | 27 | 27 |
| Cyclobenzaprine Hcl | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$55 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2100 Wescott DrFlemington, NJ 08822-4603Phone: (908) 788-6183
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Frequently asked questions
- What is Thomas Dotro's NPI number?
- Thomas Dotro's National Provider Identifier (NPI) is 1083716922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Dotro's specialty?
- Thomas Dotro is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Dotro located?
- Thomas Dotro's practice location on file with NPPES is 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104.
- What is Thomas Dotro's phone number?
- The practice phone number listed in the NPPES registry for Thomas Dotro is (908) 277-8940.
- Does Thomas Dotro accept Medicare?
- Thomas Dotro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Dotro's NPI active?
- Yes — Thomas Dotro's NPI (1083716922) is active in the NPPES registry as of the last update on 2022-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.