DR. DOMINIC MARINO (D.O.) – Orthopaedic Surgery Physician, NPI 1225577703

DR. DOMINIC MARINO (D.O.) is a healthcare provider. based in Daytona beach, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. OS18633 (FL). The NPI Number for DR. DOMINIC MARINO (D.O.) is 1225577703

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOMINIC MARINO (D.O.)
NPI
1225577703
Phone
(386) 255-4596
Address
1865 LPGA BLVD
Enumeration Date
17 February 2017
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
3862554596
Graduation Year
2017 (9 years ago)
PAC ID
1759761521
Group Practice PAC ID
9335123504
Professional Enrollment ID
I20220711002143
Address ID
FL321177108DA1865XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for DR. DOMINIC MARINO (D.O.)

  • 1865 LPGA BLVD

    DAYTONA BEACH, FL 321177108

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1075 Mason Ave

    Daytona Beach, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 22, Queens Lane, Van Howe Estates, Queensbury, Warren County, New York, 12804, United States

    QUEENSBURY, NY 128049027

    Phone: (518) 744-9800

    Type: Mailing

  • McLaren Greater Lansing, 401, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States

    ATTN: KAREN JURY OF MCLAREN GREATER LANSING MED. DEPT

    LANSING, MI 489102819

    Phone: (518) 744-9800

    Type: Location

  • 13020 N TELECOM PKWY

    TEMPLE TERRACE, FL 336370925

    Phone: (813) 978-9700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $25,403.

Total Amount is formed as General ($25,403) + Research ($0) + Ownership ($0) = $25,403.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($16,988).

Total Amount

$25,403

General + Research + Ownership

Payments

72

Total payment records

General Amount

$25,403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2022-07-11

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
I20220711002143IOrthopedic SurgeryFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg49751$0
99214Established patient office or other outpatient visit, 30-39 minutes9073$0
20610Aspiration and/or injection of fluid from large joint8965$0
73564X-ray of knee, 4 or more views8372$0
27447Replacement of knee joint, both sides of knee5656$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 9335123504View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is DR. DOMINIC MARINO (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. DOMINIC MARINO (D.O.) with NPI 1225577703.
Can I rely on DR. DOMINIC MARINO (D.O.) being an active provider?
As of the registry snapshot, DR. DOMINIC MARINO (D.O.) is marked active.
What is DR. DOMINIC MARINO (D.O.)'s specialty?
The listing groups DR. DOMINIC MARINO (D.O.) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DOMINIC MARINO (D.O.) based?
DR. DOMINIC MARINO (D.O.) is tied to Daytona Beach, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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