DR. DAVID E. DOMINGUEZ (M.D.) – Orthopaedic Surgery Physician, NPI 1467694521
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. DAVID E. DOMINGUEZ (M.D.)
141 COCONUT DR
INDIALANTIC, FL 329032607
Phone: (321) 610-8939
Fax: (321) 622-8728
Type: Mailing
640 CLASSIC CT STE 104
MELBOURNE, FL 329408279
Phone: (321) 610-8939
Fax: (321) 622-8728
Type: Mailing
141 Coconut Dr
Indialantic, FL 329032607
Phone: (321) 610-8939
Fax: (321) 622-8728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $665.
Total Amount is formed as General ($665) + Research ($0) + Ownership ($0) = $665.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Arthrex, Inc. ($283).
Total Amount
$665
General + Research + Ownership
Payments
35
Total payment records
General Amount
$665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $283 |
| Miach Orthopaedics, Inc. | $139 |
| Vericel Corporation | $129 |
| TRICE MEDICAL, INC. | $34 |
| Reel Surgical, Inc. | $30 |
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: 2011-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110818000866 | I | Orthopedic Surgery | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 673 | 358 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 257 | 257 | $0 |
| 73562 | X-ray of knee, 3 views | 94 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 59 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 66 | 55 | $0 |
Insurance plans in this area (ZIP 32903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 73630 | X-ray of foot, minimum of 3 views | 14 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Sports Medicine | FL |
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