ROBERT M DOMKE (MD) – Diagnostic Radiology Physician, NPI 1386681773
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT M DOMKE (MD)
714 N SENATE AVE
INDIANAPOLIS, IN 462023763
Phone: (317) 909-3086
Fax: (317) 963-2711
Type: Mailing
2598 W WHITE RIVER BLVD
MUNCIE, IN 473035251
Phone: (765) 747-3049
Type: Location
Cayuga Medical Center at Ithaca, 101, Dates Dr, Hayts Corner, Ithaca Town, Tompkins County, New York, 14850, United States
ITHACA, NY 148501342
Phone: (607) 277-3790
Fax: (607) 277-3849
Type: Mailing
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.
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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: 2016-11-02
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 |
|---|---|---|---|---|
| I20161102002367 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 174 | 155 | $0 |
| 71046 | X-ray of chest, 2 views | 104 | 101 | $0 |
| 73502 | X-ray of hip, 2-3 views | 69 | 67 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 58 | 49 | $0 |
| 74018 | X-ray of abdomen, 1 view | 53 | 49 | $0 |
Insurance plans in this area (ZIP 46202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NY | 71010 | X-ray of chest, 1 view, front | 416 | 379 |
| DIAGNOSTIC RADIOLOGY | NY | 71250 | CT scan chest | 63 | 63 |
| DIAGNOSTIC RADIOLOGY | NY | 73110 | X-ray of wrist, minimum of 3 views | 27 | 23 |
| DIAGNOSTIC RADIOLOGY | NY | 73630 | X-ray of foot, minimum of 3 views | 35 | 28 |
| DIAGNOSTIC RADIOLOGY | NY | 74177 | CT scan of abdomen and pelvis with contrast | 112 | 107 |
| DIAGNOSTIC RADIOLOGY | NY | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | NY | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | NY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 34 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IN | |
| - | MN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN |
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