DR. DOMINIC JAMES KIOMENTO (MD) – Family Medicine Physician, NPI 1871573667
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. DOMINIC JAMES KIOMENTO (MD)
Cadillac Family Physicians Clinic, 8950, Professional Drive, Clam Lake Township, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496018599
Phone: (231) 775-2493
Fax: (231) 779-7701
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)
CMS reports 34 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: ABBVIE INC. ($318).
Total Amount
$621
General + Research + Ownership
Payments
34
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $318 |
| Dexcom, Inc. | $78 |
| Inspire Medical Systems, Inc. | $45 |
| NESTLE HEALTHCARE NUTRITION INC. | $45 |
| Novo Nordisk Inc | $34 |
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: 2005-11-17
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 |
|---|---|---|---|---|
| I20051117000909 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 409 | 194 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 344 | 199 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 246 | 173 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 210 | 155 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 163 | 148 | $0 |
Insurance plans in this area (ZIP 49601)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| Nurse Practitioner | MI |
Reviews
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