DR. DOMINIQUE MESIDOR (MD) – Surgical Critical Care Physician, NPI 1033205091

DR. DOMINIQUE MESIDOR (MD) is a healthcare provider. based in Bradenton, Florida. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS), CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. ME0086398 (FL). The NPI Number for DR. DOMINIQUE MESIDOR (MD) is 1033205091

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOMINIQUE MESIDOR (MD)
NPI
1033205091
Phone
(941) 794-5621
Address
2010 59TH ST W
Enumeration Date
5 October 2006
Last Update Date
1 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087566000
Graduation Year
1984 (42 years ago)
PAC ID
2769462365
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20110228000446
Address ID
WI535482940JA1000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. DOMINIQUE MESIDOR (MD)

  • 2010, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    SUITE 2200

    BRADENTON, FL 342094616

    Phone: (941) 794-5621

    Fax: (941) 761-1532

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($272).

Total Amount

$344

General + Research + Ownership

Payments

3

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110228000446ICritical Care (Intensivists)WITBD
I20180125001919IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2513$0
99291Critical care, first 30-74 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416860440View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. DOMINIQUE MESIDOR (MD) in the U.S.?
In the U.S., DR. DOMINIQUE MESIDOR (MD) is identified by NPI 1033205091.
Is DR. DOMINIQUE MESIDOR (MD)'s NPI status active today?
Active status means DR. DOMINIQUE MESIDOR (MD)'s NPI record is not deactivated in the public file.
What services align with DR. DOMINIQUE MESIDOR (MD)'s listing?
DR. DOMINIQUE MESIDOR (MD)'s public classification highlights Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DOMINIQUE MESIDOR (MD)?
DR. DOMINIQUE MESIDOR (MD) shows a connection to Bradenton, Florida in registry-derived data.
Who maintains DR. DOMINIQUE MESIDOR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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