DR. MICHAEL EUGENE DOMIS (DPM) – Podiatrist, NPI 1124077474

DR. MICHAEL EUGENE DOMIS (DPM) is a healthcare provider. based in Tampa, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO2713 (FL). The NPI Number for DR. MICHAEL EUGENE DOMIS (DPM) is 1124077474

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL EUGENE DOMIS (DPM)
NPI
1124077474
Phone
(727) 804-3668
Address
18203 Sandy Pointe Dr
Enumeration Date
6 May 2006
Last Update Date
7 November 2019

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8136343324
Graduation Year
1996 (30 years ago)
PAC ID
6204735517
Professional Enrollment ID
I20040106000519
Address ID
FL335735728SU105XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. MICHAEL EUGENE DOMIS (DPM)

  • 18203 Sandy Pointe Dr

    Tampa, FL 33647

    Phone: (727) 804-3668

    Type: Location

  • 5509 GRAND BLVD STE 203

    NEW PORT RICHEY, FL 346523836

    Phone: (727) 572-5449

    Fax: (727) 844-5425

    Type: Mailing

  • 18203, Sandy Pointe Drive, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 33647

    Phone: (727) 804-3668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040106000519IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,7861,155$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,153594$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes426426$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes249248$0
10060Simple or single drainage of skin abscess158138$0
View full utilization report →

Insurance plans in this area (ZIP 33647)

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Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL EUGENE DOMIS (DPM) using NPI 1124077474?
NPI 1124077474 belongs to DR. MICHAEL EUGENE DOMIS (DPM); compare other details if you need extra assurance.
Is DR. MICHAEL EUGENE DOMIS (DPM) still an active registrant?
DR. MICHAEL EUGENE DOMIS (DPM) carries an active NPI according to the public dataset.
What kind of doctor is DR. MICHAEL EUGENE DOMIS (DPM)?
DR. MICHAEL EUGENE DOMIS (DPM) is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL EUGENE DOMIS (DPM)?
Directory geography for DR. MICHAEL EUGENE DOMIS (DPM) centers on Tampa, Florida.
Does DR. MICHAEL EUGENE DOMIS (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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