DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) – Orthopaedic Hand Surgery Physician, NPI 1992966493

DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) is a healthcare provider. based in Wausau, Wisconsin. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 55350 (AZ). The NPI Number for DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) is 1992966493

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD)
NPI
1992966493
Phone
(715) 359-6442
Address
225000 HUMMINGBIRD RD STE 100
Enumeration Date
18 June 2008
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7153596442
Graduation Year
2008 (18 years ago)
PAC ID
0042433393
Group Practice PAC ID
3678541919
Professional Enrollment ID
I20240709001968
Address ID
WI544012950WA22500RDXX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

81 HAND SURGERY in WI

Provider Addresses for DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD)

  • 225000 HUMMINGBIRD RD STE 100

    WAUSAU, WI 544012950

    Phone: (715) 359-6442

    Type: Location

  • 34800 Bob Wilson Dr

    NMCSD

    San Diego, CA 921341098

    Phone: (888) 607-4958

    Fax: (619) 532-5846

    Type: Location

  • 2852, C Street, Golden Hill, San Diego, San Diego County, California, 92102, United States

    UNIT 1

    SAN DIEGO, CA 921022248

    Phone: (719) 671-9277

    Type: Mailing

  • Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States

    NMCSD

    SAN DIEGO, CA 921341098

    Phone: (888) 607-4958

    Fax: (619) 532-5846

    Type: Location

  • 2924 NIGHT WATCH WAY

    ALPINE, CA 919014115

    Phone: (719) 671-9277

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-05-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($130).

Total Amount

$152

General + Research + Ownership

Payments

4

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240709001968IHand SurgeryWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678541919View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Orthopedic SurgeryWI
Nurse PractitionerWI
-WI
Physician AssistantWI
Physical Therapist In Private PracticeWI
Pain ManagementWI
Physical Medicine And Rehabilitation, Interventional Pain ManagementWI
Physical Medicine And RehabilitationCA
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Can I cross-check DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) using NPI 1992966493?
NPI 1992966493 belongs to DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD); compare other details if you need extra assurance.
Is DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) shown as active in public data?
Registry records indicate DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) maintains an active NPI.
What expertise is attributed to DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD)?
DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD)'s specialty line reads Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) registered?
Use Wausau, Wisconsin as the headline location for DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) here.
When was this NPI issued?
Enumeration for DR. DOMINIC THEODORE GOMEZ LEONARDELLI (MD) is noted as June 18, 2008 where the registry provides it.

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