Jaclyn K. Dombroski, R-PAC
NPI 1407131253ActiveIndividual· Physician Assistant· Liverpool, NY
Physician Assistant (R-PAC) with Familycare Medical Group PC, practicing in Liverpool, New York. Their prescriptions cost Medicare Part D more than their services did: $255,188 for 2,752 claims, against $31,769 paid for services in 2024. Novo Nordisk Inc was the largest of 17 companies reporting payments in 2025, $2,139 in all, mostly food and beverage.
Overview
| NPI | 1407131253 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R-PAC |
| Sole proprietor | No |
| NPI issued | Oct 12, 2011 |
| Last updated in NPPES | May 9, 2025 |
| Certified by provider | May 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 015222 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 1,202 across 59 procedure codes |
| Paid by Medicare | $31,769 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,752 · 6,411 30-day fills |
|---|---|
| Patients | 335 |
| Total drug cost | $255,188 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Familycare Medical Group PCElbridge, NY · 110 clinicians
Industry payments (Open Payments)
- 2025$2,139 · 118 payments from 17 companies
- 2024$2,495 · 138 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $491.82 | 28 |
| Astrazeneca Pharmaceuticals LP | $296.29 | 23 |
| Lilly USA, LLC | $236.66 | 11 |
| Shield Therapeutics Inc | $234.46 | 13 |
| Exact Sciences Corporation | $152.99 | 7 |
What the 2025 payments were for
- Food and Beverage$2,139 · 118 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Liverpool
- 1891860086
- 1831549831
- 1487176103
- 1992160188
- 1659007466
- 1972579902
- 1164280632
- 1326082215
- 1184077885
- 1124109467
- 1023605912
- 1740376425