DR. DAVID F DIDOMENICO (MD DO) – Urology Physician, NPI 1740297803

DR. DAVID F DIDOMENICO (MD DO) is a healthcare provider. based in Mattoon, Illinois. specializing in UROLOGY. They hold the professional credentials MD DO. They hold a License No. 036088344 (IL). The NPI Number for DR. DAVID F DIDOMENICO (MD DO) is 1740297803

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID F DIDOMENICO (MD DO)
NPI
1740297803
Phone
(217) 238-6055
Address
1005 HEALTH CENTER DR STE 201
Enumeration Date
2 August 2006
Last Update Date
15 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172383730
Graduation Year
1989 (37 years ago)
PAC ID
0143213512
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20100428000090
Address ID
IL619389252MA101XXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

543 UROLOGY in IL

Provider Addresses for DR. DAVID F DIDOMENICO (MD DO)

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Type: Mailing

  • 1000 HEALTH CENTER DR STE 305

    MATTOON, IL 619389261

    Phone: (217) 258-4186

    Fax: (217) 348-4185

    Type: Location

  • PO BOX 372

    MATTOON, IL 619380372

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,562.

Total Amount is formed as General ($1,562) + Research ($0) + Ownership ($0) = $1,562.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: KOELIS Inc. ($288).

Total Amount

$1,562

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,562

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2010-04-28

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
I20100428000090IUrologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes472392$0
51741Electronic assessment of bladder emptying317273$0
52000Diagnostic exam of bladder and urethra using an endoscope253219$0
99213Established patient office or other outpatient visit, 20-29 minutes10886$0
99205New patient office or other outpatient visit, 60-74 minutes7272$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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Provider's Procedures

DR. DAVID F DIDOMENICO (MD DO) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYIL51798Ultrasound measurement of bladder capacity after voiding302221
UROLOGYIL55700Biopsy of prostate gland2322
UROLOGYIL76872Ultrasound of rectum2827

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: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

What federal number belongs to DR. DAVID F DIDOMENICO (MD DO)?
The federal identifier for DR. DAVID F DIDOMENICO (MD DO) is NPI 1740297803.
Is DR. DAVID F DIDOMENICO (MD DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DAVID F DIDOMENICO (MD DO) list a primary specialty?
If you are matching referrals, note Urology Physician for DR. DAVID F DIDOMENICO (MD DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. DAVID F DIDOMENICO (MD DO)?
We surface Mattoon, Illinois for DR. DAVID F DIDOMENICO (MD DO) based on available NPPES addresses.
What if Mattoon, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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