Active NPI 1184891830 Individual Practitioner Male Practitioner

Dr. Patrick L Dominguez , MD

Dermatology • Orlando, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Dominguez, MD is a certified Dermatology practicing in Orlando, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Dominguez delivers high-quality medical care to the local community at 80 W GRANT ST STE 117.

Dr. Dominguez is affiliated with Leavitt Medical Associates Of Florida Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

80 W Grant St Ste 117

Orlando, FL 328063909

Telephone 8664003376

Fax 4077700182

Associated Practice Facility / Clinic

🏢 Dermatological Associates Pc Facility NPI 1043211436

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Orlando, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -4.6 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

21 Specialists

Practicing in Orlando, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dominguez (20 Years) 20 Yrs

Orlando Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	90	21	$25.00	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$318.00	$87.43
17000 Destruction of skin growth	37	32	$245.00	$50.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$446.00	$119.86
11102 Tangential biopsy of single skin lesion	22	20	$380.00	$93.16
17110 Destruction of up to 14 skin growths	16	13	$420.00	$108.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$393.00	$109.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	112	20	$25.00	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	47	44	$318.00	$87.06
17000 Destruction of skin growth	35	32	$245.00	$50.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	24	$446.00	$127.15
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$258.00	$71.83
17110 Destruction of up to 14 skin growths	26	23	$420.00	$107.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$393.00	$112.36
11102 Tangential biopsy of single skin lesion	21	20	$380.00	$97.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$201.00	$56.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$582.00	$166.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$134.17	$92.84
17003 Destruction of precancer skin growth, 2-14 growths	57	17	$25.74	$7.19
17110 Destruction of up to 14 skin growths	43	37	$192.44	$107.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$184.39	$113.28
17000 Destruction of skin growth	26	25	$138.65	$53.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$178.00	$127.50
11102 Tangential biopsy of single skin lesion	23	22	$197.39	$97.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$282.14	$169.39
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$125.00	$72.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$89.79	$58.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	782	12	$150.00	$144.05
17003 Destruction of precancer skin growth, 2-14 growths	240	38	$35.00	$7.66
99213 Established patient office or other outpatient visit, typically 15 minutes	122	89	$200.00	$101.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	63	$120.00	$63.35
17000 Destruction of skin growth	50	45	$154.00	$65.48
11102 Tangential biopsy of single skin lesion	43	39	$300.00	$114.97
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$210.00	$81.82
17110 Destruction of up to 14 skin growths	37	33	$253.00	$133.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$240.00	$125.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$240.00	$144.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	560	15	$150.00	$140.26
17003 Destruction of precancer skin growth, 2-14 growths	217	29	$35.00	$7.08
99213 Established patient office or other outpatient visit, typically 15 minutes	173	122	$200.00	$84.34
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$210.00	$85.79
17110 Destruction of up to 14 skin growths	50	41	$253.00	$129.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	37	$240.00	$120.30
17000 Destruction of skin growth	44	36	$154.00	$67.53
11102 Tangential biopsy of single skin lesion	35	32	$300.00	$106.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$120.00	$51.69
17004 Destruction of precancer skin growth, 15 or more growths	16	16	$616.00	$184.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$240.00	$120.67
11104 Punch biopsy, first skin growth	12	12	$360.00	$147.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	385	11	$150.00	$136.92
17003 Destruction of precancer skin growth, 2-14 growths	352	54	$35.00	$6.41
99213 Established patient office or other outpatient visit, typically 15 minutes	151	110	$200.00	$82.77
17000 Destruction of skin growth	72	62	$154.00	$62.80
17110 Destruction of up to 14 skin growths	69	61	$253.00	$126.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$240.00	$119.58
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$210.00	$83.54
11102 Tangential biopsy of single skin lesion	42	39	$300.00	$105.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$120.00	$50.85
17004 Destruction of precancer skin growth, 15 or more growths	19	15	$616.00	$172.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$240.00	$120.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$687.00	$347.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	316	41	$35.00	$5.89
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	283	11	$150.00	$133.54
99213 Established patient office or other outpatient visit, typically 15 minutes	154	104	$199.22	$80.41
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$208.06	$81.85
11100 Biopsy of single growth of skin and/or tissue	67	61	$235.00	$110.55
17000 Destruction of skin growth	63	50	$154.00	$60.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	50	$238.06	$115.49
17110 Destruction of up to 14 skin growths	52	44	$253.00	$124.24
17004 Destruction of precancer skin growth, 15 or more growths	29	21	$616.00	$162.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$118.65	$48.86
11101 Biopsy of each additional growth of skin and/or tissue	20	13	$70.00	$35.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$234.17	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	292	48	$35.00	$6.18
99213 Established patient office or other outpatient visit, typically 15 minutes	187	129	$140.00	$80.10
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$140.00	$82.22
11100 Biopsy of single growth of skin and/or tissue	80	67	$235.00	$106.00
17110 Destruction of up to 14 skin growths	79	68	$253.00	$121.54
17000 Destruction of skin growth	74	58	$154.00	$58.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	41	$200.00	$114.48
17004 Destruction of precancer skin growth, 15 or more growths	30	23	$616.00	$167.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$85.00	$48.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$205.00	$114.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$687.00	$339.80

Medical Specialties & State Licenses

CMS Verified: 2024-06-13

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME154324

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Leavitt Medical Associates Of Florida Inc

80 W Grant St, Orlando, FL 328063909

Phone: 4077700139

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Nicky Gazy

Dermatology

NPI 1104311075

Niti Amin , PA-C

Physician Assistant

NPI 1114356573

Physician Assistant (Certified)

Courtney Oloughlin , PA-C

Physician Assistant

NPI 1124743125

Physician Assistant (Certified)

Dr. Timothy Lian , MD

Otolaryngology - Facial Plastic Surgery

NPI 1154355493

Doctor of Medicine (M.D.)

Hannah Leonard , PA-C

Physician Assistant

NPI 1154871887

Physician Assistant (Certified)

Alice Beard , PA-C

Physician Assistant

NPI 1164532552

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location June 13, 2024

Registered at 80 W GRANT ST STE 117, ORLANDO, FL 328063909 (Tel: 8664003376)

📍

Updated Business Mailing Address June 13, 2024

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 8664003376)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Dermatology (License #ME154324 in FL)

✅

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2013

Registered at 12462 PUTNAM ST, SUITE 501, WHITTIER, CA 906021048 (Tel: 5627895429)

📍

Updated Business Mailing Address August 08, 2013

Registered at 4572 ALLA RD, LOS ANGELES, CA 900666490 (Tel: 3104887157)

👤

Provider Name / Credentials Updated August 08, 2013

Recorded as PATRICK DOMINGUEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Dermatology (License #A112717 in CA)

🟢

Initial NPI Registration & Enumeration May 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184891830

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 13, 2008

Last Update: June 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

151 Southhall Ln Ste 300

Maitland, FL 327517172

Phone: 8664003376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.