CHARLES L II DOMSON (M.D.) – Diagnostic Radiology Physician, NPI 1841281557
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for CHARLES L II DOMSON (M.D.)
212, North 2nd Street, Leesburg, Lake County, Florida, 34748, United States
LEESBURG, FL 347485103
Phone: (352) 435-0723
Fax: (352) 435-0724
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)
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: 2004-02-04
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 |
|---|---|---|---|---|
| I20040204000772 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 115 | 113 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 47 | 46 | $0 |
| 73721 | Mri scan of leg joint without contrast | 46 | 33 | $0 |
| 72146 | Mri scan of middle spinal canal without contrast | 24 | 23 | $0 |
| 72158 | Mri scan of lower spinal canal before and after contrast | 22 | 22 | $0 |
Insurance plans in this area (ZIP 34748)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 30 | 26 |
| DIAGNOSTIC RADIOLOGY | FL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| N E U R O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| Diagnostic Radiology | FL | |
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| N E U R O S U R G E R Y | TX | |
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| Nurse Practitioner | FL |
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