Dominic J Piccolo, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2769 Issued in NE

Practice address

7441 O St Ste 400
Lincoln, NE 68510-2466

Phone

(402) 464-9000

Fax

(402) 464-4447

NPI assigned

Jun 7, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rheumatology and Osteoporosis Services, P.C.Group PAC ID 3971560673, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• York General Health Care Services Hospital, York, NE, CCN 281336
• Beatrice Community Hospital & Health Center, Inc Hospital, Beatrice, NE, CCN 281364

Merit-based Incentive Payment System (MIPS)

Final score

92.13 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.76

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: djpiccolopac@ro.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rheumatology & Osteoporosis Services, P.C.

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1174737597
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beatrice Community Hospital & Health Center Inc

  • Critical Access Hospital
  • Beatrice, NE
  • NPI 1184642894
  Care Compare affiliation
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  dba Bryan Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1851020788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102466",
            "telephone_number": "402-464-9000",
            "fax_number": "402-464-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102466",
            "telephone_number": "402-464-9000",
            "fax_number": "402-464-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "DOMINIC",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DJPiccoloPAC@ro.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "DJPiccoloPAC@ro.ssdirect.aprima.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7441 O St Ste 400",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physician Management Services of Nebraska, LLC
• Physicians, Inc. Associates
• Physiotherapy Associates Inc. (Select Physical Therapy)
• Physiotherapy Associates, Inc.
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Bryan Thomas Pick
• Lauren Pick, M.S. PLMHP
• Brittany Pickel
• Katy Christine Pickel, LMHP
• James Josiah Michael Pickens

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.