Dominic Damian Freeburg, PA-C
NPI 1407211808ActiveIndividual· Physician Assistant, Surgical· Mesa, AZ
Physician Assistant, Surgical (PA-C) with Banner Physician Specialists Arizona LLC, practicing in Mesa, Arizona. In 2024 Medicare paid $20,858 for 157 patients, and Part D covered 109 of their prescriptions, 79% of them generic. Endologix LLC was the largest of 3 companies reporting payments in 2025, $387.95 in all, mostly food and beverage. Lists Banner Baywood Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1407211808 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 29, 2015 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 6781 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 157 |
|---|---|
| Services billed | 295 across 55 procedure codes |
| Paid by Medicare | $20,858 |
Part D prescriptions in 2024
| Prescriptions (claims) | 109 · 147 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $16,639 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
Hospital affiliations
- Banner Baywood Medical CenterMesa, AZ
- Banner Heart HospitalMesa, AZ
Industry payments (Open Payments)
- 2025$387.95 · 7 payments from 3 companies
- 2024$14.16 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Endologix LLC | $270.81 | 1 |
| W. L. Gore & Associates, Inc. | $101.78 | 5 |
| Boston Scientific Corporation | $15.36 | 1 |
What the 2025 payments were for
- Food and Beverage$387.95 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 surgical physician assistants in Mesa · All surgical physician assistants in Arizona