DR. MICHAEL F DOMBEK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1588668289
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
Provider Addresses for DR. MICHAEL F DOMBEK (DPM)
Jeff Davis Drive, Fenwyck, Fayetteville, Fayette, Georgia, 30214, United States
FAYETTEVILLE, GA 302141668
Phone: (770) 716-8732
Fax: (770) 716-8878
Type: Mailing
1975 HIGHWAY 54 W
STE 205
PEACHTREE CITY, GA 302694794
Phone: (678) 561-9000
Fax: (770) 487-1232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $6,524.
Total Amount is formed as General ($6,524) + Research ($0) + Ownership ($0) = $6,524.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Fuse Medical, Inc. ($6,374).
Total Amount
$6,524
General + Research + Ownership
Payments
4
Total payment records
General Amount
$6,524
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fuse Medical, Inc. | $6,374 |
| Medtronic, Inc. | $149 |
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: 2010-12-13
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 |
|---|---|---|---|---|
| I20101213000781 | I | Podiatry | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 401 | 263 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 352 | 245 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 317 | 120 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 264 | 264 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 180 | 56 | $0 |
Insurance plans in this area (ZIP 30214)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA | |
| - | GA | |
| P O D I A T R Y | GA | |
| - | GA | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | IA | |
| P O D I A T R Y | MI |
Reviews
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