Deactivated NPI 1801835962 Deactivated / Inactive NPI Male Practitioner

Dr. Noel R Dominguez , MD

Internal Medicine • Waverly, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Noel Dominguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2006

NPI Deactivation Date July 09, 2021

Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Noel Dominguez, MD was a registered Internal Medicine practicing in Waverly, TN. Throughout an active medical career spanning 15 years, Dr. Dominguez provided care at the practice location at 209 WEST MAIN STREET until profile deactivation on 2021-07-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection, ceftriaxone sodium, per 250 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

209 West Main Street

Waverly, TN 37185

Telephone 9312964225

Fax 9312964218

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waverly, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Waverly, TN (2716 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.2% 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 (2020)

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	634	308	$150.00	$102.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	535	82	$5.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	273	59	$5.00	$0.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	230	111	$35.00	$13.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	220	84	$5.00	$1.53
99213 Established patient office or other outpatient visit, typically 15 minutes	165	111	$100.30	$70.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	57	$175.00	$138.30
J1885 Injection, ketorolac tromethamine, per 15 mg	54	12	$10.00	$0.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	30	$85.00	$69.47
81002 Urinalysis, manual test	48	39	$10.00	$3.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	27	$125.00	$50.10
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	29	22	$150.00	$101.78
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	16	$50.00	$38.35
94640 Inhalation treatment for airway obstruction or sputum production	18	17	$50.00	$15.94
69210 Removal of impacted ear wax	17	15	$75.00	$43.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$175.00	$131.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$25.00	$8.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$125.00	$100.76
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	13	$25.00	$7.61
99239 Hospital discharge day management, more than 30 minutes	13	13	$125.00	$102.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$175.00	$155.36

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	854	337	$150.03	$103.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg	835	117	$5.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	428	87	$5.00	$0.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	361	122	$5.00	$1.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	318	150	$35.00	$15.71
99213 Established patient office or other outpatient visit, typically 15 minutes	301	165	$100.00	$70.31
G0008 Administration of influenza virus vaccine	147	145	$35.00	$15.42
90756 Vaccine for influenza for injection into muscle	147	145	$50.00	$26.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	96	$175.00	$138.47
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	102	40	$150.00	$103.13
81002 Urinalysis, manual test	91	63	$10.00	$3.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	47	$85.00	$70.09
94640 Inhalation treatment for airway obstruction or sputum production	58	51	$50.00	$16.41
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	54	23	$50.00	$38.82
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	19	$25.00	$16.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	35	$125.00	$50.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$175.00	$131.65
69210 Removal of impacted ear wax	29	27	$75.00	$44.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$25.00	$8.25
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$25.00	$7.65
99239 Hospital discharge day management, more than 30 minutes	21	21	$125.00	$103.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	12	$50.00	$21.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$250.00	$196.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$175.00	$156.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$125.00	$100.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,010	111	$5.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	903	329	$150.00	$98.37
J0696 Injection, ceftriaxone sodium, per 250 mg	305	68	$5.00	$0.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	258	133	$35.00	$18.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	211	81	$5.00	$1.74
99213 Established patient office or other outpatient visit, typically 15 minutes	211	143	$94.55	$66.55
90756 Vaccine for influenza for injection into muscle	126	126	$49.88	$22.15
G0008 Administration of influenza virus vaccine	125	125	$35.00	$18.74
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	123	38	$150.00	$99.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	74	$175.00	$132.60
81002 Urinalysis, manual test	86	58	$10.00	$3.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	46	$85.00	$67.31
J1030 Injection, methylprednisolone acetate, 40 mg	60	51	$40.00	$6.62
99285 Emergency department visit for life threatening or functioning severity	53	51	$1642.32	$164.90
94640 Inhalation treatment for airway obstruction or sputum production	53	48	$50.00	$16.38
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	25	$25.00	$16.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	46	23	$50.00	$37.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	38	$125.00	$48.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	38	$25.00	$7.91
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	38	38	$25.00	$7.34
99284 Emergency department visit with moderate level of medical decision making	31	31	$1114.23	$108.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$175.00	$151.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	13	$50.00	$19.50
99239 Hospital discharge day management, more than 30 minutes	27	23	$125.00	$99.50
69210 Removal of impacted ear wax	21	21	$75.00	$44.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$175.00	$120.96
11100 Biopsy of single growth of skin and/or tissue	16	16	$150.00	$85.54
20610 Aspiration and/or injection of fluid from large joint	15	12	$100.00	$54.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$125.00	$96.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$225.00	$187.35
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$25.00	$16.20
99283 Emergency department visit with low level of medical decision making	12	12	$591.67	$59.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$150.00	$105.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,249	144	$5.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	902	335	$123.13	$97.18
J0696 Injection, ceftriaxone sodium, per 250 mg	396	84	$5.20	$0.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	354	169	$35.00	$22.55
99213 Established patient office or other outpatient visit, typically 15 minutes	312	172	$90.00	$65.76
J1030 Injection, methylprednisolone acetate, 40 mg	204	140	$40.00	$5.75
G0008 Administration of influenza virus vaccine	108	104	$35.00	$23.26
99285 Emergency department visit for life threatening or functioning severity	101	98	$1649.22	$161.69
Q2039 Influenza virus vaccine, not otherwise specified	98	96	$50.00	$18.21
94640 Inhalation treatment for airway obstruction or sputum production	96	82	$50.00	$15.90
81002 Urinalysis, manual test	74	57	$10.00	$3.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	41	$85.00	$66.12
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	67	30	$150.00	$97.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	61	14	$100.00	$83.50
99284 Emergency department visit with moderate level of medical decision making	55	54	$1111.44	$111.59
69210 Removal of impacted ear wax	47	44	$75.00	$43.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	36	$175.00	$131.00
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$25.24	$15.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	20	$50.00	$37.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	26	$125.00	$48.33
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	28	$25.00	$7.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	28	$25.00	$7.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$175.00	$148.56
99283 Emergency department visit with low level of medical decision making	28	27	$606.86	$57.27
99239 Hospital discharge day management, more than 30 minutes	23	23	$125.00	$98.12
J1580 Injection, garamycin, gentamicin, up to 80 mg	17	13	$10.00	$1.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$225.00	$185.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$97.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$65.00	$35.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$175.00	$124.83
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$25.00	$15.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$150.00	$103.51
82270 Stool analysis for blood to screen for colon tumors	12	12	$25.00	$4.32
J1040 Injection, methylprednisolone acetate, 80 mg	12	12	$40.00	$10.54
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	11	11	$25.00	$15.95

Medical Specialties & State Licenses

CMS Verified: 2021-10-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TN MD0000019861

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME57103

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc Indiv Prov #

81977 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ernest Kleier , MD

Surgery

NPI 1609934728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location October 07, 2021

Registered at 209 WEST MAIN STREET, WAVERLY, TN 37185 (Tel: 9312964225)

📍

Updated Business Mailing Address October 07, 2021

Registered at P O BOX 210, WAVERLY, TN 37185 (Tel: 9312964225)

👤

Provider Name / Credentials Updated October 07, 2021

Recorded as NOEL DOMINGUEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Internal Medicine (License #ME57103 in FL)

⚠️

NPI Profile Deactivated July 09, 2021

Record deactivated on July 09, 2021

✅

NPI Profile Active March 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2012

Registered at 209 WEST MAIN STREET, WAVERLY, TN 37185 (Tel: 9312964225)

📍

Updated Business Mailing Address March 22, 2012

Registered at P O BOX 210, WAVERLY, TN 37185 (Tel: 9312964225)

👤

Provider Name / Credentials Updated March 22, 2012

Recorded as NOEL DOMINGUEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2012

Internal Medicine (License #MD0000019861 in TN)

🟢

Initial NPI Registration & Enumeration June 05, 2006

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: 1801835962

Entity Type:

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

Enumeration Date: June 05, 2006

Last Update: October 07, 2021

Deactivation Date: July 09, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

P O Box 210

Waverly, TN 37185

Phone: 9312964225

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.