DR. MICHAEL S DOMER (MD) – Orthopaedic Surgery Physician, NPI 1710983143
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
662 ORTHOPEDIC SURGERY in AZ
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Provider Addresses for DR. MICHAEL S DOMER (MD)
PO BOX 271429
SALT LAKE CITY, UT 841271429
Phone: (602) 772-3800
Fax: (602) 772-3801
Type: Mailing
North 44th Street, Phoenix, Maricopa County, Arizona, 85050-4206, United States
PHOENIX, AZ 850187227
Phone: (602) 631-3161
Fax: (602) 631-3162
Type: Location
PO BOX 80217
PHOENIX, AZ 850600217
Phone: (602) 385-2115
Fax: (480) 418-3323
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $7,672.
Total Amount is formed as General ($7,672) + Research ($0) + Ownership ($0) = $7,672.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($4,337).
Total Amount
$7,672
General + Research + Ownership
Payments
42
Total payment records
General Amount
$7,672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $4,337 |
| Merck Sharp & Dohme LLC | $2,250 |
| DePuy Synthes Sales Inc. | $571 |
| Vericel Corporation | $383 |
| Zimmer Biomet Holdings, Inc. | $103 |
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: 2005-04-07
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 |
|---|---|---|---|---|
| I20050407000443 | I | Orthopedic Surgery | AZ | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 247 | 189 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 236 | 182 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 195 | 139 | $0 |
| 73564 | X-ray of knee, 4 or more views | 162 | 125 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 151 | 38 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Orthopedic Surgery | UT | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | IL | |
| - | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | UT |
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