DAVID M DOMAN (M.D.) – Orthopaedic Surgery Physician, NPI 1437350634
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
507 ORTHOPEDIC SURGERY in KY
Provider Addresses for DAVID M DOMAN (M.D.)
650 Joel Dr
BACH Dept of Orthopedics
Fort Campbell, KY 42223
Phone: (270) 798-8426
Type: Location
105 Keeton Dr
Hopkinsville, KY 422408756
Phone: (270) 889-0701
Type: Location
1801 N Senate Blvd Ste 535
Indianapolis, IN 462021204
Phone: (317) 963-4787
Type: Location
410 University Pkwy
Aiken, SC 298016810
Phone: (803) 649-2250
Type: Location
304 Jones Ave
Waynesboro, GA 308301509
Phone: (706) 863-9797
Type: Location
Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462021204
Phone: (317) 963-4787
Type: Location
PO BOX 14039
AUGUSTA, GA 309190039
Phone: (706) 863-9797
Fax: (706) 860-7686
Type: Mailing
3650 J DEWEY GRAY CIR
AUGUSTA, GA 309091867
Phone: (706) 863-9797
Fax: (706) 860-7686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $569.
Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($415).
Total Amount
$569
General + Research + Ownership
Payments
10
Total payment records
General Amount
$569
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $415 |
| Medical Device Business Services, Inc. | $75 |
| Stryker Corporation | $63 |
| Gilead Sciences, Inc. | $16 |
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: 2023-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221108001684 | I | Orthopedic Surgery | GA | TBD |
| I20230323001642 | I | Orthopedic Surgery | SC | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 16 | $0 |
Insurance plans in this area (ZIP 42223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Physical Medicine And Rehabilitation | MA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | GA |
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