DR. DOMINIC WU (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1710333414
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. DOMINIC WU (M.D.)
PO BOX 871353
KANSAS CITY, MO 641871353
Phone: (816) 584-8100
Fax: (816) 584-8106
Type: Mailing
9301 W 74TH ST STE 230
SHAWNEE MISSION, KS 662042217
Phone: (816) 584-8100
Type: Location
5810 NW Barry Rd Ste 100
Kansas City, MO 641541400
Phone: (816) 584-8100
Type: Location
195, Canal Street, Malden Centre, Malden, Middlesex County, Massachusetts, 02148, United States
MALDEN, MA 021486701
Phone: (781) 338-0500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 314 Open Payments records for all available years, with a total value of $30,581.
Total Amount is formed as General ($30,581) + Research ($0) + Ownership ($0) = $30,581.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($24,893).
Total Amount
$30,581
General + Research + Ownership
Payments
314
Total payment records
General Amount
$30,581
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $24,893 |
| ABBVIE INC. | $1,611 |
| Janssen Biotech, Inc. | $665 |
| Lilly USA, LLC | $486 |
| Amgen Inc. | $253 |
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: 2022-05-11
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 |
|---|---|---|---|---|
| I20220510002822 | I | Dermatology | KS | TBD |
| I20220511002439 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,260 | 228 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 382 | 299 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 332 | 270 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 246 | 182 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 196 | 196 | $0 |
Insurance plans in this area (ZIP 64187)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Micrographic Dermatologic Surgery (Mds), Internal Medicine | KS | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Physician Assistant | KS |
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