DR. JEREMY PETER DOMANSKI (M.D.) – Gastroenterology Physician, NPI 1083691356
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
Provider Addresses for DR. JEREMY PETER DOMANSKI (M.D.)
661 Independence Pkwy Ste 120
Chesapeake, VA 233205114
Phone: (757) 547-0798
Fax: (757) 547-0145
Type: Location
112, Gainsborough Square, Chesapeake, Virginia, 23320, United States
STE 200
CHESAPEAKE, VA 233201706
Phone: (757) 547-0798
Fax: (757) 547-0145
Type: Location
5701 Cleveland St Ste 100
Virginia Beach, VA 234621788
Phone: (757) 547-0798
Fax: (757) 547-0145
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 233205114
Phone: (757) 547-0798
Fax: (757) 547-0145
Type: Location
PO BOX 780125
PHILADELPHIA, PA 191780125
Phone: (804) 922-4844
Type: Mailing
1755 N MECKLENBURG AVE
SOUTH HILL, VA 239704080
Phone: (434) 447-3151
Fax: (434) 584-6019
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 226 Open Payments records for all available years, with a total value of $4,535.
Total Amount is formed as General ($4,535) + Research ($0) + Ownership ($0) = $4,535.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,276).
Total Amount
$4,535
General + Research + Ownership
Payments
226
Total payment records
General Amount
$4,535
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-06-30
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 |
|---|---|---|---|---|
| I20160630001479 | I | Gastroenterology | VA | 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 | 221 | 184 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 174 | 167 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 131 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 101 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 98 | 96 | $0 |
Insurance plans in this area (ZIP 23320)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Gastroenterology, Internal Medicine | TN | |
| P A T H O L O G Y | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Gastroenterology, Internal Medicine | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Gastroenterology, Internal Medicine | VA | |
| P A T H O L O G Y | VA |
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