ANDREA MEAD DOMINEY (M.D.) – Dermatology Physician, NPI 1215023007
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANDREA MEAD DOMINEY (M.D.)
1807, North Hutchinson Road, Greenrich Village Apartments, Spokane Valley, Spokane County, Washington, 99212, United States
SPOKANE VALLEY, WA 992122444
Phone: (509) 456-7414
Fax: (509) 624-0763
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($65).
Total Amount
$301
General + Research + Ownership
Payments
14
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
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: 2011-12-28
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 |
|---|---|---|---|---|
| I20071220000080 | I | Dermatology | WA | TBD |
| I20111228000420 | I | Dermatology | ID | 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 | 1,166 | 255 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 760 | 619 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 426 | 346 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 300 | 181 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 275 | 244 | $0 |
Insurance plans in this area (ZIP 99212)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Physician Assistant | WA |
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