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Active NPI 1740870211 Individual Practitioner Male Practitioner

David Arturo Dominguez , PA-C

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Dominguez, PA-C is a certified Physician Assistant practicing in Grand Rapids, MI. With approximately 6 years of clinical experience since completing medical education in 2020, David Dominguez delivers high-quality medical care to the local community at 100 CHERRY ST SE.

David Dominguez is affiliated with Cherry Street Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Cherry St Se

Grand Rapids, MI 495034526

Telephone 6169658200
Fax 6169405337
Associated Practice Facility / Clinic
🏢 Cherry Street Services, Inc Facility NPI 1780742015

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dominguez (6 Years) 6 Yrs
Grand Rapids Specialty Average (11.4 Years) 11.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
227 149 $390.00 $96.40
99239 Hospital discharge day management, more than 30 minutes
101 100 $440.00 $92.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
72 57 $280.00 $64.19
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
68 51 $178.46 $24.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
52 52 $670.00 $140.81

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601012911

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 9244

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Cherry Street Services Inc

550 Cherry St Se, Grand Rapids, MI 495034748

Phone: 6162357272

Cherry Street Services Inc

100 Cherry St Se, Grand Rapids, MI 495034526

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Social Worker

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Social Worker - Clinical

NPI 1013436211
Kimberly Raby

Social Worker - Clinical

NPI 1023362472
Dr. Cole Brower , DNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023499951

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1033182894

Doctor of Optometry

NPI 1033485438

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location March 25, 2025

Registered at 100 CHERRY ST SE, GRAND RAPIDS, MI 495034526 (Tel: 6169658200)

📍
Updated Business Mailing Address March 25, 2025

Registered at 100 CHERRY ST SE, GRAND RAPIDS, MI 495034526 (Tel: 6167762400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Physician Assistant (License #9244 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Physician Assistant (License #5601012911 in MI)

📍
Updated Practice Location August 31, 2022

Registered at 13400 E SHEA BLVD, SCOTTSDALE, AZ 852595452 (Tel: 4803018000)

📍
Updated Business Mailing Address August 31, 2022

Registered at 13400 E SHEA BLVD, SCOTTSDALE, AZ 852595452 (Tel: 4803018000)

👤
Provider Name / Credentials Updated July 19, 2022

Recorded as DAVID DOMINGUEZ, PA-C

NPI Profile Active January 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2021

Registered at 3960 ARLINGTON AVE, LOS ANGELES, CA 900082710 (Tel: 2138809273)

📍
Updated Business Mailing Address January 19, 2021

Registered at 3960 ARLINGTON AVE, LOS ANGELES, CA 900082710 (Tel: 2138809273)

👤
Provider Name / Credentials Updated January 19, 2021

Recorded as DAVID DOMINGUEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740870211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2021
Last Update: March 25, 2025
Sole Proprietor: No

Mailing Address

100 Cherry St Se

Grand Rapids, MI 495034526

Phone: 6167762400

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.