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FERNANDO B DOMONDON JR. MD
NPI 1013969492
Emergency Medicine in Orchard Park, NY

Active since May 16, 2006PECOS Enrolled
S 3669 SOUTHWESTERN BLVD, MERCY AMBULATORY CARE CENTER, ORCHARD PARK, NY 14127(716) 204-4500(716) 204-4501 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fernando B Domondon Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNANDO B DOMONDON JR. MD (NPI 1013969492) is an individual emergency medicine provider in Orchard Park, New York, licensed in New York (196197) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013969492
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameFERNANDO B DOMONDON JR.Credential: MD
Location AddressS 3669 SOUTHWESTERN BLVD, MERCY AMBULATORY CARE CENTEROrchard Park, NY 14127
Mailing Address6653 Main StWilliamsville, NY 14221-5906 · (716) 204-4500 · Fax (716) 204-4501
Phone(716) 204-4500
Fax(716) 204-4501
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1013969492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 196197
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 196197-1 (NY)
S 3669 SOUTHWESTERN BLVD, Orchard Park, NY 14127
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Other Identifiers 1

Medicaid01610939NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fernando B Domondon Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Fernando Domondon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Buffalo Emergency Associates LLP
13 mi
Emergency Medicine
6653 MAIN ST
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 195 clinicians in this Medicare group
NPI 1508816521 (719) 204-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services111 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services85 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernando Domondon's NPI number?

The NPI number for Fernando Domondon is 1013969492. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Fernando Domondon located?

Fernando Domondon practices at S 3669 Southwestern Blvd Mercy Ambulatory Care Center, Orchard Park, NY 14127. The listed phone number is (716) 204-4500.

What is Fernando Domondon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Fernando Domondon enrolled in Medicare?

Yes. Fernando Domondon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fernando Domondon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Domondon reassigns Medicare benefits to Buffalo Emergency Associates LLP (Williamsville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fernando Domondon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fernando Domondon was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.