Jack William Dormer, PA
- Medicare services, 2024
- 94
- Medicare patients, 2024
- 108
- Part D claims, 2024
- 56
- MIPS score, 2024
- 89
- Industry payments
- $102
- Practice address
- 5959 Big Tree Road Ste 100, Orchard Park, NY 14127
- Practice phone
- Call (716) 859-5600
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Southtowns Surgery Center
Surgery Center - Medicare-Certified · Orchard Park, New York
Find Jack Dormer's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jack William Dormer is a physician assistant in Orchard Park, New York
Jack Dormer practices at Southtowns Surgery Center in Orchard Park, New York.
Jack Dormer's NPI, 1285317024, was assigned on August 9, 2023. Jack Dormer holds New York license 030380.
- NPI
- 1285317024NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4587018080
- NPI enumeration date
- August 9, 2023
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (716) 859-5600
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 29
- Medical school graduation
- 2023
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jack William Dormer practices at Southtowns Surgery Center in Orchard Park, New York
Jack Dormer's primary practice is Southtowns Surgery Center, at 5959 Big Tree Road Ste 100, Orchard Park, NY 14127. The practice phone is (716) 859-5600.
- Southtowns Surgery Center5959 Big Tree Road Ste 100, Orchard Park, NY 14127Phone(716) 859-5600
Source: Dmand AI Affiliation Data
Jack William Dormer is affiliated with 2 sites of care and 1 medical group
Jack Dormer's primary practice is Southtowns Surgery Center in Orchard Park, New York. The medical group on file is UBMD Orthopaedics & Sports Medicine. Dmand AI also links Jack Dormer to 1 more group practice or clinic, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Jack William Dormer's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jack Dormer practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Southtowns Surgery Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Jack William Dormer is one of 11,456 physician assistants in New York
Physician assistant is Jack Dormer's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Jack Dormer is licensed in New York.
Specialties and state licenses
- Physician assistant, New YorkPrimary
Physician assistants near Jack Dormer
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jack William Dormer billed Medicare for 94 services in 2024
CMS data shows 94 Medicare services from Jack Dormer across 2 procedure codes in 2024, all of them office visits, for 108 Medicare patients. Medicare paid $5,892 for them. Every service was in an office.
Jack Dormer compared with the New York median for physician assistants, 2024
- Jack Dormer
- New York median
- Medicare services
- 94vs 17647% below
- Medicare patients
- 108vs 7838% above
- Part D claims
- 27vs 24589% below
Medians across 6,477 physician assistants in New York with Dmand AI profiles that report each measure.
Jack Dormer's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Jack William Dormer treated 108 Medicare patients in 2024, average age 72
CMS counts 108 Medicare patients who saw Jack Dormer in 2024. The largest group is 65 to 74, with 52 patients. 75% of them have high cholesterol, and 72% have arthritis. 10% are also on Medicaid. Their average risk score is 1.07, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Jack Dormer's median patient age at 43, with 54% women.
Jack Dormer's Medicare patients by age, 2024
Jack Dormer's Medicare patients by sex, 2024
- Women6560%
- Men4340%
Chronic conditions among Jack Dormer's Medicare patients, 2024
- High cholesterol75%
- Arthritis72%
- High blood pressure69%
- Ischemic heart disease31%
- Mood disorders29%
- Depression27%
- Chronic kidney disease26%
- Anxiety24%
Share of Medicare patients with each condition. A patient can have several.
Jack Dormer's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 43
Patient panel by sex, all payers
- Women54%
- Men45%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Jack William Dormer wrote 56 Medicare Part D claims in 2024
In 2024, Jack Dormer wrote 56 Medicare Part D claims for 49 patients. 100% of them were for generic drugs. CMS names the drug for 27 of them, across 1 drug with 11 or more claims each, at $176 in total drug cost.
Jack Dormer's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Jack William Dormer scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Jack Dormer for performance year 2024, reported as part of a group. Jack Dormer accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Jack Dormer's MIPS scores, performance year 2024
- 89of 100Final score
- 77.6of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 81of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Jack William Dormer received $102 in industry payments in 2025
CMS Open Payments shows 3 general payments to Jack Dormer from 3 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Smith & Nephew, Inc. paid the most, $60.
Companies that paid Jack Dormer the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Jack William Dormer's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jack William Dormer
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jack William Dormer's NPI number?
Jack William Dormer's NPI number is 1285317024. It was assigned on August 9, 2023, and it is active in the NPI Registry.
What does Jack William Dormer specialize in?
Jack William Dormer is a physician assistant in Orchard Park, New York. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Jack William Dormer practice?
Jack Dormer practices at 5959 Big Tree Road Ste 100, Orchard Park, NY 14127. Jack Dormer's primary practice is Southtowns Surgery Center in Orchard Park, New York. Dmand AI also links Jack Dormer to 1 group practice or clinic.
What is Jack William Dormer's office phone number?
The practice phone on file for Jack Dormer is (716) 859-5600.
What is Jack William Dormer's medical license number?
Jack Dormer holds New York license 030380.
What medical group is Jack William Dormer part of?
Jack Dormer is linked to UBMD Orthopaedics & Sports Medicine.
Does Jack William Dormer accept Medicare?
Yes. CMS data shows Jack Dormer billed Medicare for 94 services in 2024, and Jack Dormer accepts Medicare assignment.
What is Jack William Dormer's MIPS score?
Jack Dormer's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
How many Medicare patients does Jack William Dormer see?
CMS counts 108 Medicare patients who saw Jack Dormer in 2024, with an average age of 72.
What services does Jack William Dormer bill to Medicare?
In 2024, Jack Dormer's most billed Medicare services were office visit, new patient (99203) and office visit, established patient (99213).
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What drugs does Jack William Dormer prescribe most?
In 2024 Medicare Part D data, Jack Dormer's most prescribed drugs by claims were Methylprednisolone.
Has Jack William Dormer received payments from drug or device companies?
CMS Open Payments shows $102 in general payments to Jack Dormer from 3 companies from 2025 to 2025. The largest total came from Smith & Nephew, Inc.
How long has Jack William Dormer been practicing?
Jack Dormer graduated from medical school in 2023, 3 years ago.
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