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Active NPI 1770615528 Individual Practitioner Male Practitioner

Dr. Carlos B Domingo , MD

Surgery • Newark, OH

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Domingo, MD is a registered healthcare professional specializing in Surgery in Newark, OH. Practice services are available at 1970 TAMARACK RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1970 Tamarack Rd

Newark, OH 430551363

Telephone 7403442452
Fax 7403447305
Associated Practice Facility / Clinic
🏢 Meritas Surgical, Inc. Facility NPI 1538140926

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Newark, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Newark, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 36 $225.00 $99.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
32 32 $249.00 $155.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
14 14 $295.00 $191.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
11 11 $770.45 $178.75

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35089303

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ohio State Medical Licens
35089303 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Sang Won Dacri-Kim , DO

Surgery - Vascular Surgery

NPI 1043385529

Doctor of Osteopathic Medicine (D.O.)

Sherri Mitchell , RNFA

Clinical Nurse Specialist - Medical-Surgical

NPI 1124015094
NPI 1447247309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1970 TAMARACK RD, NEWARK, OH 430551363 (Tel: 7403442452)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8415 CLIFFTHORNE WAY, COLUMBUS, OH 432358410 (Tel: 6145050482)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARLOS DOMINGO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35089303 in OH)

🟢
Initial NPI Registration & Enumeration March 09, 2007

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: 1770615528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

8415 Cliffthorne Way

Columbus, OH 432358410

Phone: 6145050482

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.