CARMEN LETICIA DOMINGUEZ (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1396775334
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
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Provider Addresses for CARMEN LETICIA DOMINGUEZ (M.D.)
Florida Health Care Plans, 320, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142733
Phone: (386) 238-3226
Fax: (386) 238-3260
Type: Location
P.O. BOX 9671
DAYTONA BEACH, FL 321209671
Phone: (386) 676-7130
Fax: (386) 676-7125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2023-06-26 • Largest payer in this snapshot: Medtronic, Inc. ($27).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $27 |
| Nevro Corp. | $26 |
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: 2025-09-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070806000745 | I | Anesthesiology | FL | TBD |
| I20250919003363 | I | Anesthesiology | SC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL |
Reviews
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