DR. KELLY DOMSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1760408066
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
318 PATHOLOGY in VA
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Provider Addresses for DR. KELLY DOMSON (MD)
9834, Business Way, Ashton Professional Center, Manassas, Manassas (city), Virginia, 20110, United States
MANASSAS, VA 20110
Phone: (703) 257-1440
Fax: (703) 257-4337
Type: Mailing
Fauquier Hospital, 500, Hospital Drive, Warrenton, Fauquier County, Virginia, 20186, United States
WARRENTON, VA 20186
Phone: (703) 257-1440
Fax: (703) 257-4337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $19 |
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: 2014-02-03
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 |
|---|---|---|---|---|
| I20110615000446 | I | Pathology | DC | TBD |
| I20140203000299 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 425 | 217 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 150 | 49 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 96 | 76 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 71 | 50 | $0 |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 51 | 11 | $0 |
Insurance plans in this area (ZIP 20110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | VA | 88342 | Tissue or cell analysis by immunologic technique | 123 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pathology, Undersea And Hyperbaric Medicine | VA | |
| P A T H O L O G Y | VA |
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