GREGORY S DOMER (M.D.) – Vascular Surgery Physician, NPI 1003872474
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
371 VASCULAR SURGERY in PA
Provider Addresses for GREGORY S DOMER (M.D.)
One Medical Center Blvd
Suite 233
Upland, PA 19013
Phone: (610) 499-0400
Fax: (610) 499-1970
Type: Location
3735 NAZARETH RD STE 206
EASTON, PA 180458346
Phone: (484) 503-8281
Fax: (833) 866-5612
Type: Location
Saint Luke's University Hospital - Bethlehem Campus, 801, Ostrum Street, Bethlehem, Lehigh County, Pennsylvania, 18015, United States
BETHLEHEM, PA 180151000
Phone: (484) 503-8281
Fax: (833) 816-5612
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $2,267.
Total Amount is formed as General ($2,267) + Research ($0) + Ownership ($0) = $2,267.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Medtronic, Inc. ($874).
Total Amount
$2,267
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $874 |
| Cagent Vascular INC | $319 |
| Endologix LLC | $287 |
| W. L. Gore & Associates, Inc. | $235 |
| Philips Electronics North America Corporation | $152 |
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: 2017-01-04
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 |
|---|---|---|---|---|
| I20060110000745 | I | Vascular Surgery | PA | TBD |
| I20170104000986 | I | Vascular Surgery | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 86 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 72 | 72 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 50 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
Insurance plans in this area (ZIP 19013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Pulmonary Disease | NJ | |
| - | NJ | |
| Cardiovascular Disease (Cardiology) | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine | NJ | |
| Vascular Surgery, General Surgery | NY | |
| Pulmonary Disease | NJ | |
| Cardiovascular Disease (Cardiology) | NJ |
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